在亚洲群体中进行结肠直肠自然孔样本提取手术:肥胖是否重要?
Isaac Seow-En1, Wee K Ng2, Maureen E Padernal Villanueva2,3
1Department of Colorectal Surgery, Singapore General Hospital, Singapore - isaac.seow.en@gmail.com.
Minerva surgery
|July 28, 2025
概括
自然孔样本提取 (NOSE) 对接受结肠直肠手术的亚洲肥胖患者是安全的. 肥胖患者和非肥胖患者的结局和并发症率相似,证明了NOSE.
科学领域:
- 最少侵入性的手术
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 自然孔样本提取 (NOSE) 提供了传统的跨腹腔样本采集的替代方案.
- 在接受结直肠手术的亚洲肥胖患者中评估NOSE安全性和结果至关重要.
研究的目的:
- 评估NOSE在结直肠手术后肥胖与非肥胖的亚洲患者中的安全性和有效性.
- 为了比较BMI组之间的术后结果和并发症率.
主要方法:
- 用NOSE进行腹腔镜结直肠切除的回顾性队列研究 (2021年2月至2023年10月).
- 排除标准:临床T4或N2疾病.
- 与BMI<25 kg/m2和BMI≥25 kg/m2的患者之间的结局的比较.
主要成果:
- 49名患者进行了尝试性NOSE; 81.6%为结肠直肠癌.
- 在BMI组之间,手术持续时间,血液损失或恢复时间没有显著差异.
- 两组的并发症率和术后逗留时间 (3天) 都相似.
- 在高BMI队列中的9.1%发生了NOSE衰竭;没有开放的转换.
结论:
- 在精选的亚洲肥胖患者中,结肠直肠鼻子手术的结果与非肥胖患者相似.
- 在亚洲肥胖人口中,NOSE是结直肠手术的可行选择,患病率相似.
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