在结直肠癌手术中教科书瘤结果:系统性审查
Giang Son Arrighini1, Alessandro Martinino2, Victoria Zecchin Ferrara3
1Faculty of Medicine and Surgery, University of Bologna, Bologna, Italy.
Frontiers in oncology
|June 10, 2025
概括
在结直肠外科手术中标准化教科书瘤结局 (TOO) 提高了质量. 一个统一的定义,包括彻底切除和没有重大并发症,提高了患者的护理和医院的表现.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 教科书结局的概念已经演变为教科书瘤结局 (TOO),包括外科瘤学的原则.
- 在结直肠外科手术中,TOO存在许多定义,需要合成以进行标准化.
研究的目的:
- 在结直肠癌手术中系统地审查和综合现有的TOO定义.
- 促进TOO的普遍认可定义,以提高外科手术质量和患者的治疗结果.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 在PubMed,Web of Science和Scopus数据库中进行了搜索.
- 研究的质量使用纽卡斯尔-太华尺度来评估.
主要成果:
- 包括13项研究,揭示了常见的TOO参数:激光切除,淋巴结产量≥12,没有Clavien-Dindo等级≥III并发症,75百分位内的停留时间,没有30天的再入院或死亡率.
- 影响TOO成绩的因素包括手术风险,性别,瘤阶段和社会经济地位.
- 实现TOO与改善的长期存活相关.
结论:
- 教科书瘤结果 (TOO) 是评估结直肠癌手术质量的重要指标.
- 标准化TOO定义可以提高跨机构的护理的一致性和质量.
- 一个拟议的统一定义包括彻底切除,LN收益率≥12,没有严重并发症,最佳停留时间,没有短期不良事件.
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