在直肠瘤前切除过程中对自然孔样本提取的系统审查和元分析
Nicholas A Clausen1, Hugo C Temperley2,3, Joshua David Bruinsma4
1Department of Surgery, University Hospital Waterford, Waterford, Ireland.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|February 4, 2026
概括
自然孔样本提取 (NOSE) 为前切除提供了传统的微创手术的有希望的替代方案,减少并发症和住院时间. 然而,它涉及更长的手术时间,需要进一步研究长期瘤安全性和的形成.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 手术瘤学手术瘤学
背景情况:
- 传统的微创手术用于取样带有感染和等伤口并发症的风险.
- 自然孔样本提取 (NOSE) 旨在消除腹部切口,潜在地改善恢复和减少并发症.
研究的目的:
- 系统地审查和比较NOSE与传统腹腔镜前切除的临床和瘤结果.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 在PubMed和EMBASE的电子数据库中搜索到2025年3月.
- 包括14项研究,涉及1149名患者 (502名NOSE,647名常规).
主要成果:
- 鼻子手术时间较长 (12.44分钟),血流较少 (-13.75毫升),住院时间较短 (-0.75天).
- 鼻子组的瘤直径较小 (-0.43厘米),但淋巴结收获类似.
- 整体并发症率有利于NOSE (OR 0.54),主要是由于感染减少 (OR 0.24).
结论:
- 对于精选的前切除患者来说,NOSE是一种可行的选择,与更少的并发症有关.
- 较长的运行时间被记录在NOSE.
- 需要进一步研究长期结果,如形成和瘤安全性.
相关概念视频
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.5K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.5K
Assessing Body Temperature - Rectal
12.3K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
12.3K
What is Natural Selection?
129.5K
Natural selection is an evolutionary process in which individuals with survival-promoting traits reproduce at higher rates. These favorable traits become more common within a population or species. Naturally selected traits initially arise via random genetic mutations. In order for selection to occur, there must be variation within a population, the trait controlling the variation must be heritable, and there must be an evolutionary advantage for variation in the trait.
129.5K
Nature and Nurture
22.4K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
22.4K
Random and Systematic Errors
15.1K
Scientists always try their best to record measurements with the utmost accuracy and precision. However, sometimes errors do occur. These errors can be random or systematic. Random errors are observed due to the inconsistency or fluctuation in the measurement process, or variations in the quantity itself that is being measured. Such errors fluctuate from being greater than or less than the true value in repeated measurements. Consider a scientist measuring the length of an earthworm using a...
15.1K


