米特罗法诺夫并发症:分裂与完整的尾的时间分析和元分析
Michael E Chua1,2,3, Kay Rivera4,5, Rodrigo Romao4
1Global Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada. auhc_ekim@yahoo.com.
World journal of urology
|January 27, 2025
概括
分裂尾米特罗法诺夫手术的并发症率可能比完整的尾方法略高,尽管在统计学上并不显著. 个性化手术规划对于最佳的患者结果至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 手术技巧 手术技巧
背景情况:
- 米特罗法诺夫手术创建了一个大陆尿路转移使用尾.
- 尾制备的变化,如分裂尾,存在.
- 与这些变异相关的并发症率需要彻底评估.
研究的目的:
- 为了比较分裂和完整的尾之间的并发症率米特罗法诺夫手术.
- 评估不同米特罗法诺夫手术技术的安全性和有效性.
- 为手术决策提供基于证据的指导.
主要方法:
- 对接受米特罗法诺夫手术 (2005-2016) 的患者进行了回顾性队列分析.
- 现有文献的系统审查和元分析 (PROSPERO注册:CRD42023481627).
- 统计分析包括卡普兰-梅尔,日志等级测试,考克斯回归和曼特尔-汉泽尔方法.
主要成果:
- 单中心分析:并发症时间没有显著差异 (p=0.72).
- 分析 (565名患者):分裂尾组的并发症率较高 (29.2%) 与完整 (20.4%),几率比率为1.49 (95% CI: 0.82-2.73),不显著.
- 分裂附录的调整危险比: 1.26 (95% CI: 0.32-4.99).
结论:
- 分裂尾技术可能与更高并发症率的趋势有关.
- 目前的证据并没有显示出并发症的统计学上显著增加.
- 个体患者的解剖学和功能需求应指导手术技术的选择.
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