在紧急和可选的右侧结肠手术中对术前,术后和瘤特征进行比较分析
Yunushan Furkan Aydoğdu1, Emre Gülçek2, Çağrı Büyükkasap3
1Department of General Surgery, University of Health Sciences Türkiye, Ankara Training and Research Hospital, Ankara, Türkiye.
Turkish journal of surgery
|May 14, 2025
概括
对右结肠癌的紧急手术涉及更先进的疾病和更高的穿孔率. 早期诊断和查对于减少紧急干预和改善患者结果至关重要.
科学领域:
- 结肠直肠外科手术是什么意思
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 右侧结肠癌的预后会因紧急手术干预而恶化.
- 有限的研究集中在紧急与选择性手术对右结肠癌的具体情况.
研究的目的:
- 为了比较右侧结肠癌的紧急和选择性手术之间的术前,术后和瘤特征.
- 在右结肠癌患者中确定紧急手术的预测因素.
主要方法:
- 对356名接受右侧结肠癌手术的患者 (2015年1月 - 2023年4月) 的回顾性分析.
- 患者分为紧急 (n=93) 和可选 (n=263) 组.
- 二元逻辑回归用于识别紧急手术的预测因素.
主要成果:
- 紧急手术患者的美国麻醉学会 (ASA) 评分较高,T4,N1和M1阶段较晚,瘤穿孔率显著更高 (34.4%对1.9%).
- 开放式手术在急诊组中更频繁,转移性淋巴结的数量更高.
- 紧急手术的预测因素包括更高的ASA得分,晚期瘤阶段,穿孔和更大的瘤大小.
结论:
- 对右结肠癌的紧急手术与更先进的疾病,更高的穿孔率和更差的预后因素有关.
- 在急诊组中,腹腔镜手术的使用率较低表明技术上的挑战.
- 建议加强早期诊断和查策略,以减少紧急干预并改善结果.
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