使用乳腺管进行激进囊切术后预防腹膜:关于外科预防技术的系统性审查
Giulio Rossin1, Arianna Biasatti1, Ioana Alexandra Iachimovsky1
1Urological Clinic, Department of Medical, Surgical and Health Sciences, Cattinara Hospital, University of Trieste, 34127 Trieste, Italy.
缺少高质量的证据,用于半体 (PSH) 的预防策略,经过激进的囊切除与阴道导管. 目前的网状和非网状技术显示出可变的复发率,需要进一步研究.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 横肠 (PSH) 是激进囊切除术 (RC) 后的常见并发症,其中包括管尿路转移.
- 对PSH的预防策略尚未成为标准实践.
- 本综述评估了PSH预防技术的有效性.
研究的目的:
- 系统地审查关于半体预防技术在患者进行基底囊切除术与阴道管的疗效的文献.
- 评估与网状和非网状预防策略相关的复发率和术后结果.
主要方法:
- 在PubMed/MEDLINE,Scopus,CENTRAL和Web of Science (2010-2024) 的系统文献搜索.
- 包括RCT和评估PSH预防的非随机队列研究在RC中.
- 排除其他尿路转移或不可提取数据的研究.
主要成果:
- 分析包括3个RCT和9个关于网状和非网状技术的非随机研究.
- PSH复发率各不相同:有网状的0.0%-11.1%,没有网状的0.0%-11.5%.
- 网格的RCT显示了相互矛盾的结果;非网格RCT显示了积极的保护作用.
结论:
- 目前的证据质量很低,阻止了关于网状或非网状PSH预防的最终结论.
- 需要高质量的证据来确定这些技术的有效性.
- 对于高风险患者,建议进行个性化咨询和参与试验.
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