恶性息肉的内镜切除后的额外切除术:它总是必要的吗?
Mariana Marques1, Mariana Peyroteo1, Luís Lencastre1
1Department of Surgical Oncology, Portuguese Institute of Oncology, Porto, Portugal.
Surgical oncology
|February 11, 2026
概括
在某些患有恶性结肠多的患者中,可能可以避免手术. 完全内镜切除 (R0) 并且仅进行深部下侵袭 (DSI) 的患者在手术后没有残留疾病或复发.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 恶性结肠的管理在内镜切除后进行辩论.
- 对于不完全切除或高风险因素,通常建议进行手术.
- 在内镜切除恶性息肉后评估手术结果至关重要.
研究的目的:
- 评估恶性结肠多的内镜切除后手术的短期和长期结果.
- 为了确定可能在完全内镜切除后避免手术的患者子集.
主要方法:
- 进行了为期6年的回顾性观察性研究.
- 在内镜切除后分析了124名患有恶性结肠多的患者.
- 包括2015年1月至2020年12月的数据.
主要成果:
- 80.5%的息肉具有>1个组织学危险因子,包括深层下膜入侵 (DSI).
- 在60.16%的内镜样本中实现了R0切除.
- 25名R0切除和单个危险因子 (DSI) 的患者没有残留疾病或复发.
结论:
- 完全内镜切除 (R0) 具有单一的危险因素,特别是DSI,可能允许手术遗漏.
- 这一发现表明,对于特定的恶性息肉病例,可能需要降低治疗的程度.
- 进一步的研究可以完善保守管理的标准.
更多相关视频
03:01Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
2.1K
08:17Inducing Complete Polyp Regeneration from the Aboral Physa of the Starlet Sea Anemone Nematostella vectensis
Published on: January 14, 2017
9.0K
相关概念视频
Base Excision Repair
26.4K
One of the common DNA damages is the chemical alteration of single bases by alkylation, oxidation, or deamination. The altered bases cause mispairing and strand breakage during replication. This type of damage causes minimal change to the DNA double helix structure and can be repaired by the base excision repair (BER) pathways. BER corrects damaged DNA sequences by removing the damaged base and restoring the original base sequence using the complementary strand as a template.
The first step of...
The first step of...
26.4K
Base Excision Repair
5.1K
5.1K
Nucleotide Excision Repair
40.9K
Overview
40.9K
Nucleotide Excision Repair
5.3K
DNA Distortion and Damage
Cells are regularly exposed to mutagens—factors in the environment that can damage DNA and generate mutations. UV radiation is one of the most common mutagens and is estimated to introduce a significant number of changes in DNA. These include bends or kinks in the structure, which can block DNA replication or transcription. If these errors are not fixed, the damage can cause mutations, which in turn can result in cancer or disease depending on which sequences are...
Cells are regularly exposed to mutagens—factors in the environment that can damage DNA and generate mutations. UV radiation is one of the most common mutagens and is estimated to introduce a significant number of changes in DNA. These include bends or kinks in the structure, which can block DNA replication or transcription. If these errors are not fixed, the damage can cause mutations, which in turn can result in cancer or disease depending on which sequences are...
5.3K
Conjugate Addition (1,4-Addition) vs Direct Addition (1,2-Addition)
4.4K
α,β-Unsaturated carbonyl compounds with two electrophilic sites, the carbonyl carbon, and the β carbon, are susceptible to nucleophilic attack via two modes: conjugate or 1,4-addition and direct or 1,2-addition.
Conjugate addition results in a thermodynamically stable product. The reaction retains the stronger C=O bond at the expense of the weaker C=C π bond. The process is slow as the β carbon is less electrophilic than the carbonyl carbon.
Direct addition products are...
Conjugate addition results in a thermodynamically stable product. The reaction retains the stronger C=O bond at the expense of the weaker C=C π bond. The process is slow as the β carbon is less electrophilic than the carbonyl carbon.
Direct addition products are...
4.4K
Conjugate Addition of Enolates: Michael Addition
3.7K
The attack of a nucleophile at the β carbon of an α,β-unsaturated carbonyl compound is called conjugate addition. Conjugate addition reactions of active methylene compounds, such as β-diketones, β-keto esters, β-keto nitriles, and α-nitro ketones, are called Michael addition reactions.
3.7K
