直肠脱落手术:在腹部和周围的方法中平衡有效性和安全性
Imad Al Zangana1, Rania H Al-Taie2, Sajjad Al-Badri3
1Department of Surgery, Medical Help Hospital, Erbil, IRQ.
Cureus
|October 22, 2024
概括
laparoscopic rectopexy 对于直肠形手术提供了更好的结果,与周围技术相比,其复发率和并发症率较低. 周围的方法仍然适合老年人或高风险患者.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 临床结果研究研究
背景情况:
- 在老年女性中常见的直肠,会导致严重的症状,如失禁和便秘.
- 由于直肠结弱,手术纠正是强制性的.
- 腹部和周围的技术存在,但最佳的手术方法仍在争论中.
研究的目的:
- 为了比较腹部与腹膜外科手术方法对直肠的疗效.
- 评估复发率,术后并发症和功能结果.
- 为了确定最优的手术策略,用于直肠的管理.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在PubMed数据库中搜索关于直肠脱落手术的研究 (2000-2024年).
- 包括21项研究,根据具体结果比较腹部和周围的方法.
主要成果:
- 腹部治疗方法,特别是腹腔镜直,表明复发率显著降低.
- 腹腔镜手术显示较低的死亡率和发病率.
- 周围的方法虽然复发率较高,但侵入性较小,适合高风险患者.
结论:
- laparoscopic rectopexy 是用于直肠的优质手术方法,提供更好的功能结果和更低的复发率.
- 周围的方法仍然是一个有价值的选择,选择老年人或高风险患者.
- 未来的研究应该集中在具有长期数据的多中心试验上,以改进外科手术策略和患者选择标准.
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