转移性胃癌中的息性手术:分析 (2007-2021)
Rajendran Theakarajan1, Vageesh B G2, Saravanan M N1
1Gastrointestinal Surgery, GB Pant Hospital, New Delhi, India.
BMJ supportive & palliative care
|December 3, 2024
概括
息性外科手术,包括胃肠口术 (GJ) 和息性胃切除术,提供与转移性胃癌 (MGC) 支架相比的生存结果. 手术选择提供了一次性解决方案,减少重复干预,在资源有限的环境中有利.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 抚慰性护理是一种缓解性护理.
背景情况:
- 转移性胃癌 (MGC) 管理往往需要缓和干预,以应对阻塞或出血等并发症.
- 在MGC中支架的有效性已经确立,但息性手术的作用仍然存在争论,有相互矛盾的证据.
研究的目的:
- 评估患有转移性胃癌的患者的息性手术的临床结果.
- 为了比较胃肠口术 (GJ) 和息性胃切除术在MGC管理中的有效性.
主要方法:
- 从2007年1月至2021年12月期间接受治疗的MGC患者的临床数据的回顾性审查.
- 对接受息性手术 (GJ或胃切除术) 的患者临床结果的分析,包括生存率和并发症率.
主要成果:
- 整体生存时间的中位数为GJ的9.25个月,为息性胃切除术的11.25个月 (p=0.21).
- 并发症的发生率相似:GJ为6%,息性胃切除术为7%.
- 术内MGC诊断显示出比术前诊断更好的生存趋势,尽管在统计学上并不显著.
结论:
- 息性胃切除术和GJ证明了与MGC的内镜支架相似的结果.
- 在精选的MGC病例中,外科息干预仍然很有价值,提供了最终的解决方案,减少了重复手术的需要.
- 这些外科手术方法在资源有限的环境中尤为重要,因为它们有可能减少医院访问和干预.
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