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在克罗恩病和癌症中,右侧结肠手术后的结果与癌症相比
B Choi1, J Church2, D Khoshknabi2
1The Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy, Columbia University Irving Medical Center/New York Presbyterian Hospital, 161 Fort Washington Avenue, Floor 8, New York, NY, 10032, USA. hmc2164@cumc.columbia.edu.
在克罗恩病 (CD) 患者的手术中,接受右侧切除术的患者在使用高体积中心的标准化外科手术协议时,表现与癌症患者相似. 这种方法尽量减少CD患者的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 克罗恩病 (CD) 手术与因炎症,免疫抑制和营养不良而导致的并发症风险更高有关.
- 右侧结肠切除是CD和癌症的常见程序.
- 标准化外科手术期间的方案可以减轻外科手术的风险.
研究的目的:
- 为了比较右侧结肠切除在克罗恩氏病患者和癌症患者的手术结果.
- 评估标准化外科手术期间的治疗方案在大量的第三级护理环境中的有效性.
- 确定影响炎症性肠病和恶性瘤手术结果的因素.
主要方法:
- 对经历了大眼切除术或右半大眼切除术与大眼瘤 (2013-2022) 的患者的回顾性分析.
- 排除同时进行手术或创建骨髓瘤的患者.
- 使用威尔科克森等级和,奇平方,逻辑和线性回归的统计分析.
主要成果:
- 包括141名CD患者和589名癌症患者.
- 患有CD的患者年轻,BMI较低,并发症较少,但更有可能服用类固醇.
- 在CD和癌症组之间,停留时间,再入院,重新手术或死亡率没有显著差异.
结论:
- 标准化的外科手术协议使得克罗恩氏病患者安全的右侧结肠切除.
- 对于CD的外科结果与癌症的外科结果相似,当在具有专业知识的高体积中心进行管理时.
- 专业知识和标准化护理是优化复杂炎症病症手术结果的关键.
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