结合自主乳房重建和妇科手术:时间是否会影响临床和患者报告的结果?
Janet C Coleman-Belin1, Minji Kim1, Francis D Graziano1
1Section of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Journal of surgical oncology
|December 31, 2024
概括
将自身乳房重建 (ABR) 与妇科手术相结合是安全的. 同时的手术对并发症,手术时间或患者报告的结果没有显著影响,这支持了选择患者的这种方法.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 妇科 妇科 妇科 妇科
背景情况:
- 患有乳腺癌风险的患者经常接受降低风险的妇科手术.
- 这些手术与自乳房重建 (ABR) 的结合是有争议的.
- 这项研究评估了同时进行ABR和妇科手术的安全性和结果.
研究的目的:
- 评估将自主乳房重建与妇科手术相结合的临床和患者报告的结果.
- 为了比较同一天的ABR和妇科手术与分阶段的手术或单独的ABR.
- 为了确定同时进行手术的安全性和效率.
主要方法:
- 在2010年至2023年期间接受ABR的女性患者的回顾性审查.
- 三组的比较:同一天的ABR和妇科手术,分阶段的手术和单独的ABR.
- 分析的结果包括手术时间,停留时间,并发症,返回手术室和BREAST-Q分数.
主要成果:
- 两组之间没有观察到手术时间,停留时间或整体并发症率的显著差异.
- 血清瘤发病率在单独服用ABR的组中最低.
- 患者报告的腹部健康评分 (BREAST-Q) 在任何时间点在各组之间都没有显著差异.
结论:
- 同时进行自身乳房重建和妇科手术是适合患者的安全有效选择.
- 综合方法不会对关键的临床结果或患者报告的幸福感产生负面影响.
- 这支持并发程序的可行性,以简化对高风险个体的护理.
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