相关实验视频

Updated: Jun 7, 2025

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

Published on: September 27, 2024

结直肠外科手术的模式和长期存活率:来自单一中心的10年经验

De-Xiang Zhu¹, Miao Chen¹, Dong-Hao Xu¹

¹Department of Colorectal Surgery, Zhongshan Hospital Fudan University, Shanghai 200032, China.

World journal of gastrointestinal oncology

|November 18, 2024

概括

外科医生的专业化改善了第三阶段直肠癌患者的生存率. 结肠直肠外科医生 (CS) 在这个真实世界的研究中表现得比一般外科医生 (GS) 更好.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
流行病学流行病学

背景情况:

结肠直肠癌 (CRC) 的发病率在全球范围内不断上升,特别是在中国.
手术切除是CRC的主要治疗方法.
在CRC手术中,外科医生专业化和最小侵入性技术越来越多地被采用,但它们对长期生存的影响需要进一步调查.

研究的目的:

评估外科医生专业化对结直肠癌 (CRC) 患者整体存活率 (OS) 和微创手术利用率的影响.
分析外科医生经验的现实数据及其与患者结果的关联.

主要方法:

从2008年至2013年进行初级手术切除的5141名CRC患者的回顾性分析.
外科医生专业分类为结直肠外科医生 (CS) 或普通外科医生 (GS).
评估人口统计,临床病理学,手术和随访数据,以评估OS和手术方法.

主要成果:

外科医生专业化对于I,II或IV阶段的CRC没有显著的OS益处.
通过CS的专业化与仅在III期CRC患者中改善的OS相关 (5年OS:CS的76%vsGS的67%).
进一步分析显示,这种生存益处仅在第三阶段直肠癌患者中具有意义 (5年生存期:CS80%vsGS67%).

结论:

外科医生的专业化,特别是结直肠外科医生的专业化,与第三阶段直肠癌患者的整体存活率的改善有关.
最佳的手术技术,术后护理和辅助疗法可能有助于观察到的生存益处.
对第三阶段直肠癌的专门手术护理进行进一步的研究是有必要的.

关键词:

结肠直肠外科手术是什么意思后续行动后续行动微创手术是最少的侵入性手术.总体生存率总体生存率主要位置的主要位置.瘤阶段瘤阶段

更多相关视频

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

相关概念视频

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...