骨盆外腔除与常见或外部静脉的封闭切除:重建还是不重建?
Celine Garrett1,2, Kilian Brown1,2,3,4, Peter J Lee5,6,7
1Department of Colorectal or Vascular Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Annals of surgical oncology
|September 16, 2025
概括
在盆腔排骨过程中,常见阴道或外部阴道静脉的阻断切除可以在未经重建的情况下在选定的患者中安全地进行. 关于手术,癌症和生活质量的结果是相似的,特别是与现有的静脉附带担保.
科学领域:
- 手术瘤学手术瘤学
- 血管外科 血管外科
- 生活质量研究 研究 生命质量研究
背景情况:
- 在盆腔排骨过程中,盆腔侧壁神经血管结构的封闭切除在瘤学上是安全的.
- 在盆腔排骨过程中,评估常见阴道或外部阴道静脉 (CIV/EIV) 切除的结果至关重要.
研究的目的:
- 评估手术,瘤和生活质量 (QoL) 的结果.
- 进行静脉重建和不进行静脉重建的CIV/EIV块切除的患者进行比较.
主要方法:
- 76名患者的回顾性队列研究 (1994-2024年).
- 使用癌症治疗-结肠直肠功能评估 (FACT-C) 调查问卷进行QOL评估.
主要成果:
- 在重建和非重建组之间,手术,瘤 (R0) 或QOL结果没有显著差异.
- 非重建组显示较高的重大并发症 (42.9%对36.6%) 和更长的住院时间 (28对22天).
- 非重建组在6个月和12个月后减少了估计的血液损失 (3000比4500毫升) 和优越的QoL得分.
结论:
- 选择的患者可能会在没有重建的情况下通过封闭式CIV/EIV切除实现类似的结果.
- 没有重建的绑定对于某些患有慢性静脉外流阻塞和附带的患者来说是安全的.
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