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袖子胃切除术后的组织病理学分析:与手术前内镜检查结果的价值和相关性
Bandar Saad Assakran1, Abdulaziz S Al-Lihimy1, Sarah A Alkuraydis2
1General Surgery, King Fahad Specialist Hospital, Buraydah, SAU.
Cureus
|March 14, 2025
概括
在 laparoscopic 袖子胃切除术 (LSG) 后切除胃组织的常规组织病理学检查是有争议的. 这项研究发现,癌前病变的发生率非常低,这表明选择性检查可能更具成本效益.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 腹腔镜袖胃切除术 (LSG) 是一种常见的减肥手术.
- 术前内镜检查是标准的;切除组织的常规组织病理学检查 (HPE) 是有争议的.
- 对于LSG后的HPE,缺乏正式的指南.
研究的目的:
- 为了评估经过LSG切除的胃组织的常规组织病理学检查的疗效和产量.
- 为了将术前内镜检查结果与HPE结果相关联.
- 评估前恶性和恶性病变的流行率.
主要方法:
- 对908名接受LSG (2017-2024) 的患者进行了回顾性单中心分析.
- 通过医疗记录审查收集的数据.
- 分析包括手术前的胃镜和切除的胃组织的HPE.
主要成果:
- 99.3%的手术前胃镜检查显示没有显著异常.
- 在0.7%的患者中,HPE检测到前恶性病变;没有发现恶性病变.
- 平均年龄为35.16岁,平均BMI为44.08公斤/米2.
结论:
- 在LSG后切除胃组织的HPE对于检测显著病理的产量很低.
- 以手术前发现为指导的选择性HPE可能更合适.
- 常规HPE可能不合理,提供潜在的成本和精力节省.
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