在直肠ESD后的功能性结果:低前切除综合征的回顾性评估
Fevzi Cengiz1, Süleyman Günay2, Sezgin Vatansever3
1General Surgery, Izmir Katip Celebi University, İzmir, Turkey.
Journal of surgical oncology
|October 30, 2025
概括
对于直肠病变的内镜下粘膜切割 (ESD) 很少会导致低前切除综合征 (LARS). 当LARS发生在ESD之后,它通常是轻微的,支持ESD作为一种安全的,保存器官的治疗.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 在瘤学瘤学.
背景情况:
- 内镜下粘膜解剖 (ESD) 是对直肠病变的首选器官保护治疗方法.
- 直肠ESD对肠道功能的影响,特别是低前切除综合征 (LARS),尚不清楚.
研究的目的:
- 评估直肠ESD后LARS的发生率.
- 确定与LARS发展相关的临床和病理因素.
主要方法:
- 对118名接受了直肠ESD的患者进行了回顾性分析.
- 收集的数据包括人口统计,病变特征和LARS分数.
- 通过使用LARS得分,通过电话进行LARS评估.
主要成果:
- 轻微LARS发生在3.4%的患者中;没有观察到重大LARS.
- LARS与下直肠腺瘤和高度生殖不良有关.
- 在大多数病例中,没有检测到淋巴血管侵入.
结论:
- 直肠ESD与LARS发病率低,主要是轻微症状相关.
- 损伤位置,大小和发育不良等级可能会影响LARS.
- 对于直肠病变来说,ESD是一种功能安全的治疗选择.
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