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非标准化手术侧侧内缩切除术:是否存在共识?

Neriman Şengül¹, Buse Balcı¹, Hatice Maras²

¹Department of General Surgery, Bolu Abant İzzet Baysal University Faculty of Medicine, Bolu, Türkiye.

Turkish journal of surgery

|July 7, 2025

概括

在全球范围内,侧侧内切除术 (LIS) 的手术技术缺乏标准化. 实践的变化更多地受到外科医生的位置的影响,而不是个人特征,这凸显了在治疗慢性裂时需要达成共识的需要.

科学领域:

结肠直肠外科手术是什么意思
手术技术的标准化和标准化
胃肠道的健康状况

背景情况:

侧侧内切除术 (LIS) 是慢性裂的标准手术治疗方法.
在LIS使用的手术技术中存在显著的变化.
缺乏关于最佳LIS程序的建立共识.

研究的目的:

调查执行LIS的外科医生之间的实践差异.
为了确定是否存在对横向内侧缩切除术技术的共识.
确定影响LIS程序选择的因素.

主要方法:

匿名在线调查分发给世界各地的外科医生.
24个问题调查评估LIS的技术方法.
从207名国际外科医生收集的数据.

主要成果:

在LIS技术中观察到广泛的异质性,包括开放式与封闭式方法和缩切除术程度.
在手术前准备,患者定位和门疾病管理方面发现了显著的差异.
地理位置,而不是外科医生人口统计,是技术偏好的更强的预测因素.
常规使用直肠测量仪的比例很低 (6%).

结论:

目前,国际外科医生中缺乏一种标准化的侧向内切除术方法.
对LIS的外科手术技术偏好显示出显著的差异.
在LIS技术选择中,实践的地理位置似乎是一个比外科医生的特征更有影响力的因素.

关键词:

慢性门裂慢性门裂国际调查国际调查调查侧侧的内部截切除术.

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