接受还是放弃? 在妇科瘤腹腔切除时进行偶然的尾切除术
Nora Badiner1, Angela Mirzadeh2,3, Lauren Sword2,4
1Loma Linda University Medical Center, Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, 11175 Campus Street, Coleman Pavilion, Room #11105, Loma Linda, CA 92354, United States.
在妇科瘤手术期间的尾切除是安全的,并显示出高比例的隐形尾异常. 这支持在妇科瘤学探索性腹腔切除术中的常规附带尾切除术.
科学领域:
- 妇科瘤学
- 外科病理学
- 腹部手术
背景情况:
- 尾切除术在妇科瘤学中的作用主要研究的是卵巢粘膜病理.
- 在妇科瘤探索性腹腔切除术中,偶发性尾切除术的安全性和益处尚未得到充分证实.
研究的目的:
- 评估妇科瘤学家在探索性腹腔切除过程中的附带尾切除术的安全性和潜在益处.
- 为了确定偶尔的尾切除是否会增加术后并发症或住院.
主要方法:
- 由妇科瘤学家对513名接受探索性腹腔切除术的患者进行回顾.
- 患者被分为两组:接受尾切除的患者 (169) 和没有接受尾切除的患者 (344).
- 评估结果包括住院时间和术后并发症;通过手术报告确认了尾病理.
主要成果:
- 在尾切除和非尾切除组之间没有显著的住院或术后并发症差异.
- 观察到高率的手术内尾异常 (70. 4%).
- 在12%的病例中发现隐藏的尾异常,外观正常.
结论:
- 在探索性腹腔切除术期间由妇科瘤学家进行的意外尾切除术是安全的.
- 许多隐藏的尾异常需要考虑例行尾切除.
- 仅仅在手术内进行评估是不足以检测所有的尾病理.
更多相关视频
12:27Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
11:29Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
