预防性尿道导管以预防结肠直肠癌手术中的尿道损伤
Shinobu Ohnuma1, Keigo Kanehara1, Yukihiro Sato1
1Department of Surgery, Tohoku University Graduate School of Medicine, Sendai 980-8574, Miyagi, Japan.
Journal of clinical medicine
|June 26, 2025
概括
预防性尿路导管 (PUC) 可以减少结直肠癌手术期间的尿路损伤. 这项研究发现,PUC对先前有骨盆手术或直肠癌复发的患者有益,并有轻微的并发症.
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
- 胃肠病学 胃肠病学
背景情况:
- 催情性尿路损伤是结直肠癌手术中罕见但严重的并发症.
- 预防性尿路导管 (PUC) 用于帮助尿管识别和减轻受伤风险,尽管它的有效性仍在争论中.
研究的目的:
- 评估与大肠直肠癌手术中的预防性尿路导管结合的临床效用和患者结局.
主要方法:
- 在结直肠癌手术前对42名接受PUC的患者进行了回顾性分析.
- 收集的数据包括患者人口统计,手术方法,导管的原因和并发症.
- 在整体麻醉下通过囊镜在手术前放置尿道支架.
主要成果:
- 在左侧结直肠癌和直肠癌复发病例中,PUC最常见.
- 症状包括之前的骨盆手术和瘤靠近尿道.
- 没有发生手术内尿路损伤;像出血和尿路感染这样的轻微并发症是暂时的.
结论:
- 预防性尿路导管似乎有利于结直肠癌患者的尿路损伤的风险较高,特别是那些有骨盆手术史或直肠癌复发的患者.
- 该程序显示了良好的安全性,并有可控的并发症.
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