术前结肠镜对尾粘性新生体的影响
Giancarlo Sticca1, Maria Abou-Khalil2, Mikael Soucisse3
1Department of Surgery, Division of General Surgery, University of Montreal, Montreal, QC, Canada. giancarlo.sticca@umontreal.ca.
尾粘膜瘤的手术前结肠镜的产量低,并且不会改变手术计划. 手术后结肠镜检查可能是一个安全的替代方案,为选择的病人,这些尾瘤.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 术前结肠镜是结肠直肠癌的标准,用于检测同步瘤.
- 关于术前结肠镜对于尾粘膜性瘤的有用性存在有限的数据.
- 这项研究评估了尾粘膜病变患者手术前结肠镜的价值.
研究的目的:
- 评估尾粘膜瘤患者手术前结肠镜的诊断产量.
- 确定手术前结肠镜检查是否会改变这些患者的手术计划.
- 评估术前结肠镜与不良事件 (如瘤穿孔) 之间的关联.
主要方法:
- 在2017年至2024年期间,对患有粘膜尾瘤的患者进行了回顾性队列研究.
- 包括标准涵盖了各种表现,包括急性尾炎,尾粘膜病变和尾瘤.
- 数据分析的重点是结肠镜检查结果,对手术方法的影响以及并发症率.
主要成果:
- 在100名患者中,83%接受了手术前结肠镜检查,诊断效率低;大多数发现是正常或良性息肉.
- 没有同步结直肠瘤被确定,在CT扫描上之前已经注意到了白内障入侵.
- 结肠镜检查并没有改变手术计划,也没有增加穿孔风险;然而,由于高级病例的大量准备工作,它推迟了手术.
结论:
- 术前结肠镜的产量低,对修改尾粘膜瘤的手术管理的能力有限.
- 这种程序与瘤穿孔的风险增加无关.
- 术后结肠镜检查可能是一个安全和可行的选择,为选择患者,避免不必要的延迟.
更多相关视频
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
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...
Endoscopic Procedures II: Colonoscopy
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
