相关实验视频

Updated: Jun 8, 2025

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy

Published on: September 28, 2019

在切除胰腺腺癌后进行例行成像或症状随访

Paul C M Andel¹, Iris W J M van Goor^1,2, Simone Augustinus^3,4

¹Department of Surgery, Regional Academic Cancer Center Utrecht, UMC Utrecht Cancer Center & St Antonius Hospital Nieuwegein, Utrecht, the Netherlands.

|November 6, 2024

概括

在胰腺癌手术后的常规成像改善了以复发为重点的治疗和整体存活率 (OS). 这项研究比较了胰腺管腺癌 (PDAC) 复发患者的症状随访与常规成像.

科学领域:

在瘤学瘤学.
外科胃肠道外科手术
医疗成像医学成像

背景情况:

国际指导方针在胰腺管腺癌 (PDAC) 切除后为例行成像后续检查提供了不一致的建议.
这种不一致导致全球医疗保健中心的随访策略各不相同.

研究的目的:

为了比较临床结果,特别是以复发为重点的治疗和存活率,PDAC复发患者与症状随访对比例行成像管理的PDAC复发.
分析与欧洲 - 非洲肝 - 胰腺 - 胆汁协会 (E-AHPBA) 相关的国际中心的数据.

主要方法:

一项涉及13个国家的33个E-AHPBA中心 (2020-2021) 的前性,国际,横截面研究.
经过PDAC切除并确认疾病复发的患者被分为两组:症状随访 (没有常规成像) 或常规成像.
使用卡普兰-梅尔曲线和日志等级测试分析了整体存活率 (OS);使用多变量逻辑回归和Cox比例危险分析来评估后续策略对治疗和OS的影响.

主要成果:

该研究包括333名患有PDAC复发的患者;29%接受了症状随访,71%接受了例行成像.
接受常规成像检查的患者的平均寿命较长 (28 个月),而非症状随访 (23 个月) 的患者 (P=.01).
常规成像独立地与接受以复发为重点的治疗 (aOR=2.57,P=.01) 和延长OS (aHR=0.75,P=.04) 的可能性增加有关.

结论:

针对PDAC的胰腺切除后的例行随访成像独立地与改善的结果有关.
这一策略与加强以复发为重点的治疗和延长整体存活率相关.
研究结果表明,例行成像可能是PDAC患者切割后监测的有益组成部分.

更多相关视频

Laparoscopic Radical Antegrade Modular Pancreatosplenectomy via Dorsal-Caudal Artery Approach for Pancreatic Neck-Body Cancer

Laparoscopic Radical Antegrade Modular Pancreatosplenectomy via Dorsal-Caudal Artery Approach for Pancreatic Neck-Body Cancer

Published on: November 18, 2022

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Published on: March 15, 2024

相关概念视频

Chronic Pancreatitis II: Collaborative Care

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...