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手术专业化对新出现的结肠癌切除术后的长期生存的影响

Jenny Engdahl¹, Astrid Öberg², Sandra Bech-Larsen²

¹Department of Surgery Helsingborg Hospital Clinical Sciences Lund Lund University 251 87 Helsingborg Sweden.

Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society

|January 23, 2025

概括

手术专业化影响新出现的结肠癌切除生存率. 结肠直肠外科医生 (CS) 和急性护理外科医生 (ACS) 显示了类似的结果,而普通外科医生 (GS) 的生存率较差,这表明经验问题.

科学领域:

在瘤学瘤学.
手术科学手术科学
公共卫生公共卫生

背景情况:

外科医生专业化对新出现的结肠癌切除术后的长期生存的影响尚未得到充分证实.
了解这种关系对于优化紧急手术环境中的患者结果至关重要.

研究的目的:

评价手术专业化与接受新出现的结肠癌切除术的患者的长期存活率之间的关联.
为了比较结直肠外科医生 (CS),急性护理外科医生 (ACS) 和全科医生 (GS) 之间的结果.

主要方法:

追溯分析了在2010年至2020年期间进行的235次新出现的结肠癌切除术.
外科医生被分为CS或非结肠直肠外科医生 (NCS),NCS进一步分为ACS和GS.
总生存率 (OS) 和无癌症生存率 (CFS) 用调整的考克斯回归分析进行了比较.

主要成果:

在CS和NCS手术的患者之间,没有发现OS或CFS的显著差异 (p > 0.05).
同样,在经过ACS和CS手术的患者之间,OS和CFS是可比的 (p > 0.05).
经过GS手术的患者与经过ACS和CS手术的患者相比,经过GS手术的患者的OS和CFS显著缩短 (p <0.05).

结论:

手术专业化,特别是CS和NCS (包括ACS) 之间的手术专业化,似乎不会显著影响新出现的结肠癌切除的长期存活率.
与GS相关的较差生存结果可能与不太频繁地接触复杂的结直肠和紧急程序有关.
这些发现表明,手术经验和专业化在管理新出现的结肠癌病例方面发挥着作用.

关键词:

长期的结果长期的结果没有癌症的生存率.结肠癌是什么意思结肠癌是什么意思紧急结肠切除紧急结肠切除总体存活率总体存活率外科医生专业化的专业化.

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