一个预测微创激进切除术和血栓切除术期间手术内不良事件的nomogram
Kewei Chen1, Le Yu1, Liyuan Ge1
1Department of Urology, Peking University Third Hospital, 49 North Garden Road, Haidian, Beijing, 100191, People's Republic of China.
Surgical endoscopy
|August 21, 2024
概括
在微创激进切除术和血栓切除术 (RNAT) 期间的术内不良事件 (IOAEs) 根据瘤侧面,手术方法和梅奥等级的预测. IOAEs不会影响长期的癌症存活率,但会增加术后并发症风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 在手术期间发生的不良事件 (IOAEs) 可以使微创性激进切除术和血栓切除术 (RNAT) 复杂化.
- 了解IOAE的预测因素和结果对于患者管理至关重要.
研究的目的:
- 在最小侵入性RNAT中识别IOAE的独立预测因子.
- 评估IOAE对瘤结果和术后并发症的影响.
主要方法:
- 对294名接受最小侵入性RNAT.患者的回顾性分析.
- 多变量物流回归用于确定IOAE的预测因素.
- 卡普兰-梅尔分析以基于IOAE发生的生存结果进行比较.
主要成果:
- 19.4%的患者经历了IOAEs,最常见的是转换为开放手术和出血.
- 瘤侧面,手术方法和梅奥等级是IOAEs的独立预测因素.
- IOAEs预测了术后并发症,但没有影响整体或癌症特异性存活率.
结论:
- 瘤侧面,手术方法和梅奥等级是最小侵入性RNAT中IOAEs的关键预测因素.
- 虽然IOAEs增加了术后并发症风险,但它们不会影响长期的瘤结果.
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