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穿越斜面阴道管技术具有较低的帕拉斯托马 Hernia 的风险

Matan Mekayten¹, Amy L Tin¹, Ajaydeep Sidhu²

¹Memorial Sloan Kettering Cancer Center, New York, NY.

|September 1, 2024

概括

横斜阴道管技术是安全的盆腔排气与垂直直直腹肌肌皮,显示低半体和并发症率. 这种手术方法为需要复杂重建的患者提供了有利的结果.

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
重建性手术是一种重建性手术.

背景情况:

骨盆排骨是一种复杂的程序,用于晚期的骨盆恶性瘤.
尿路转移是盆腔排泄后的一个关键组成部分.
垂直直直腹肌肌膜 (VRAM) 被用于重建.

研究的目的:

详细介绍一下外科手术技术和结果的ipsilateral 横向斜面阴道管.
为了评估与跨管相关的半体率.
为了比较率与跨直肠状管群.

主要方法:

通过VRAM片进行过曲面阴道导管的患者的回顾性审查 (2007-2020年).
对胃的放射性评估.
与穿直管患者 (3:1比率) 的匹配比较.
卡普兰-梅尔分析无生存率和2年率计算.

主要成果:

50名患者接受过管; 190名患者与过直管对照进行了匹配.
两年半体的发病率为14%的横斜,而21%的横直.
术后并发症发生在44%的跨患者中.

结论:

两侧横的阴道管是尿路转移的安全有效方法.
这种技术在与VRAM板相结合时,证明了有利的半身率.
低的并发症率支持在骨盆外腔中使用跨管道.

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