相关实验视频

Updated: May 23, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

在克罗恩病的肠切除中,扩展与有限的半肠切除:元分析和系统性审查

B F Pompeu^1,2, P Marcolin³, F I L C B Marques⁴

¹Department of Colorectal Surgery, Heliopolis Hospital, Rua Santo Antônio, 50 - Centro, São Caetano do Sul, São Paulo, Brazil. bernardo.pompeu@online.uscs.edu.br.

Techniques in coloproctology

|March 9, 2025

概括

延长间肠切除 (EME) 与有限间肠切除 (LME) 相比,在克罗恩病 (CD) 患者中显著减少手术复发. 这种方法不会增加术后并发症或内镜复发率.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
炎症性肠道疾病炎症性肠病

背景情况:

关于延长间膜切除 (EME) 与有限间膜切除 (LME) 对于克罗恩氏病 (CD) 肠切除的疗效存在争论.
一些证据表明,与LME相比,EME可能会降低外科复发率.

研究的目的:

系统地审查和分析经手术后的并发症,手术复发和内镜复发在经过EME和LME的CD患者中.

主要方法:

在 MEDLINE,Cochrane,CENTRAL,Scopus 和 Web of Science 数据库中搜索到 2024 年 4 月.
使用随机效应模型的95%置信区间 (CI) 的聚合赔率比率 (OR).
使用科克兰的Q测试和I2统计数据评估异质性.

主要成果:

包括1个RCT和5个观察性研究 (4498名患者:1059名EME,3439名LME).
经过外科手术,EME的复发率显著降低 (5%与15%相比;OR 0.31;p=0.021).
对于整体并发症,特定并发症 (如泄漏,感染),重新手术,再入院,内镜复发,手术时间或住院没有发现显著差异.

结论:

延长间膜切除 (EME) 与克罗恩病手术复发的显著减少有关.
与有限间膜切除 (LME) 相比,EME不会增加术后并发症或内镜复发率.

关键词:

克罗恩氏病是什么克罗恩氏病是什么扩展的中腔切除术.有限的中腔切除术.手术复发的情况.

更多相关视频

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

相关概念视频

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Inflammatory Bowel Disease II: Crohn's Disease

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...