远端直肠癌患者的低前切除综合征及其纠正方法
Bogdan V Sorokin1, Sergiy O Zlobenets1, Vladyslav O Yakovenko2
1SHUPYK NATIONAL HEALTHСARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE.
概括
形成一个横向双折水库 (TDFR) 后,较低的前切除对于远端直肠癌改善了肠道功能和生活质量. 这种技术可以增强门禁欲,并在一年内减少前切除综合征 (LARS) 症状.
科学领域:
- 结肠直肠外科手术是什么意思
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 远距离直肠癌前部切除 (LAR) 可能导致功能缺陷.
- 横向双折水库 (TDFR) 是一种重建技术,旨在改善LAR后的结果.
研究的目的:
- 为了比较功能结果和生活质量在患者接受LAR远端直肠癌与或没有TDFR形成.
- 为了评估TDFR对内冲和低前切除综合征 (LARS) 的影响.
主要方法:
- 80名远端直肠癌患者的回顾性研究:40名TDFR患者和40名对照组 (结肠直肠解剖).
- 功能性结果通过门测量,气球测量和问卷 (LARS分数,韦克斯纳,FIQL) 来评估,直至胃关闭后24个月.
- 随访时间为10至60个月 (中位数为36个月).
主要成果:
- 可比的5年整体存活率 (85%的TDFR与79%的对照).
- TDFR组在3,6和12个月后表现出更好的直肠敏感性,急需排便以及最大耐受体积.
- 在TDFR组中减少了LARS表现和显著改善生活质量 (FIQL).
- 在TDFR组中更好地保护了内关节功能.
结论:
- 对于远端直肠癌的LAR后的TDFR形成在12个月内改善了内.
- TDFR减少了LARS的表现,提高了患者的生活质量.
- 在远端直肠癌手术中,TDFR技术保持了瘤的激进性.
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