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作为门节约技术的直肠逆转术在拉巴光学低前切除中与双拼接解剖:长期的功能结果

Servet Karagul¹, Serdar Senol¹, Oktay Karakose²

¹Division of Gastroenterological Surgery, Samsun Training and Research Hospital.

Surgical laparoscopy, endoscopy & percutaneous techniques

|November 12, 2024

概括

直肠变形 (RE) 是用于直肠癌手术的安全自然孔样提取 (NOSE) 方法. 长期结果显示,患者对这种节省技术的满意度很高.

科学领域:

结肠直肠手术结肠直肠手术
手术瘤学手术瘤学
最少侵入性的手术

背景情况:

肠直肠切除 (RE) 是一种自然孔样本提取 (NOSE) 技术,用于门切除非常低的直肠瘤.
laparoscopic直肠切除与双接解剖是一个常见的手术方法.

研究的目的:

为了评估腹腔镜直肠切除中直肠反转 (RE) 的长期结果.
评估患者在RE程序后的满意度和功能结果.

主要方法:

对患者进行了腹腔镜低前切除与RE的回顾性队列研究.
收集的数据包括患者人口统计,瘤特征,手术细节和术后结果.
使用韦克斯纳评分 (尿失禁) 和低前切除综合征 (LARS) 评分来评估功能性结局. 患者满意度使用利克尔特尺度进行评估.

主要成果:

11名患者 (4名女性,7名男性,平均年龄为66.09岁),平均随访时间为64.18个月.
没有观察到动脉静脉泄漏; 一例动脉静脉狭窄症成功治疗.
64%的患者没有LARS,患者满意度很高 (利克特得分中位数为7).

结论:

肠直肠切除 (RE) 是用于腹腔镜直肠切除的安全有效的NOSE技术.
RE促进了长期高的患者满意度的门节约手术,即使有功能性症状.

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