部分切除术的结果 - 考虑因素,有助于积极的外科手术边缘
Alexandru Iordache1, Nicoleta Alina Mareş, Niculae Iordache
1Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Academy of Romanian Scientists, Bucharest, Romania; niculae.iordache@umfcd.ro, octavginghina@gmail.com.
概括
部分切除术 (PN) 首选用于小脏瘤. laparoscopic 手术比开放手术有更多的积极边缘,但结果是相似的. 在腹腔镜PN后,患者需要更密切的随访.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
背景情况:
- 部分切除术 (PN) 是细胞癌<7厘米的标准.
- PN提供了与激进切除术相比较的瘤结果.
研究的目的:
- 评估PN的外科和瘤结果.
- 评估腹腔镜与开放方法中的积极外科边缘.
主要方法:
- 在一个单一的大学中心为期三年的前性研究.
- 分析腹腔镜和开放PN后的积极安全边际.
主要成果:
- 与开放PN相比, laparoscopicPN的积极外科边缘率是开放PN的两倍.
- 阳性边际没有预测复发,无进展生存或整体生存.
结论:
- laparoscopic PN 需要更密集的后续检查,因为它具有更高的积极保证金率.
- 尽管差异很大,但在不同方法之间,瘤学结果仍然可比.
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