在左侧结肠癌的腹腔镜手术中,从头骨到尾部的方法:更长的标本和更高的淋巴结产量
Beslen Goksoy1, Cem B Ofluoglu1, Ibrahim F Azamat2
1Department of General Surgery, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Istanbul, Türkiye.
Surgical oncology
|February 5, 2026
概括
在左侧结肠癌的腹腔镜手术中,从头骨到尾骨 (CC) 的方法导致较长的标本和更多的淋巴结,而不是中间到侧面 (ML) 技术. 然而,在这两种手术方法之间,瘤的结果是相似的.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
- 结直肠癌手术 结直肠癌手术
背景情况:
- 中侧到侧侧 (ML) 方法是腹腔镜左侧结肠癌手术的标准.
- 由于粘附或脏曲动员,ML方法可能具有挑战性.
- 头骨到尾部 (CC) 方法提供了一个替代技术.
研究的目的:
- 将CC和ML方法与腹腔镜左侧结肠癌手术进行比较.
- 评估短期临床结果.
- 评估中期瘤学结果.
主要方法:
- 针对左侧结肠癌进行腹腔镜手术的患者的回顾性分析 (2018年10月 - 2022年11月).
- 患者分为ML和CC组.
- 主要结局:切割样本长度;次要结局:病理参数,术后结局,无复发生存 (RFS) 和整体生存 (OS).
主要成果:
- CC组 (n=35) 的样本长度较长 (32.9厘米) 与ML组 (n=39,28.9厘米) (p=0.022) 相比.
- CC组显示出更长的近位边缘 (11.8厘米对9.9厘米;p=0.004) 和更高的淋巴结产量 (26.4对22.3;p=0.033).
- 样本长度与淋巴结产量独立相关 (p<0.001). 在44个月的随访后,RFS和OS在各组之间相似.
结论:
- 与ML方法相比,CC方法在左侧结肠癌的腹腔镜手术中产生了更长的标本和更高的淋巴结数量.
- CC方法没有证明中期瘤结果 (RFS,OS) 的改善.
- CC方法是一个可行的替代方案,特别是当ML方法存在技术困难时.
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