右侧阻塞性结肠癌的管理:范围审查
Daniel M Baker1, Kelsey Aimar2, Sam Jacobs2
1Leeds Institute of Emergency General Surgery, St James's University Hospital, Leeds, UK.
BJS open
|November 5, 2025
概括
对右侧阻塞性结肠癌 (ROCC) 的桥梁到手术 (BTS) 方法在减少并发症方面表现有前途. 然而,目前的证据受到追溯设计和不足的力量的限制,无法完全支持这些方法.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 右侧阻塞性结肠癌 (ROCC) 通常需要紧急切除.
- 新出现的证据表明,桥梁至手术 (BTS) 可能会降低死亡率和发病率.
- 在最终手术之前,BTS方法包括静脉管或支架放置.
研究的目的:
- 对ROCC管理的最新文献进行全面的范围审查.
- 报告有关ROCCs的桥梁到手术 (BTS) 的现有证据.
主要方法:
- 在Embase,MEDLINE和CENTRAL数据库 (2000-2025) 中进行系统搜索.
- 使用Covidence的研究的双重查基于预先规定的纳入标准.
- 根据PRISMA-ScR指南进行描述性数据提取和报告.
主要成果:
- 包括27项研究,主要是回顾性队列.
- 紧急切除是最常见的 (75.4%),其次是结肠支架BTS (22.9%).
- 在系统性审查中报告了BTS的有利结果,但数据有限.
结论:
- 目前在ROCC管理中BTS的证据是非随机的和追溯的.
- 研究往往没有足够的动力,限制了最终的结论.
- 没有足够的证据充分支持BTS方法的广泛采用.
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