超越接过直肠切除vs腹直肠切除二分法:朝着一种表型导向的手术范式来治疗受阻排便综合征
Michele Schiano di Visconte1, Sonia Sarnari2
1Colorectal and Pelvic Floor Diseases Center, Department of General Surgery, Azienda ULSS2 "Marca Trevigiana", Treviso 31100, Veneto, Italy. mschianodivisconte@gmail.com.
World journal of gastrointestinal surgery
|March 11, 2026
概括
阻塞性排便综合征 (ODS) 需要以表型为导向的护理,而不是以程序为导向的方法. 一个新的算法有助于ODS的手术决策,改善患者选择和结果.
科学领域:
- 结肠直肠外科手术是什么意思
- 骨盆底疾病 骨盆底疾病
- 胃肠病学 胃肠病学
背景情况:
- 阻塞性排便综合征 (ODS) 是一种复杂的骨盆底疾病.
- 目前的管理往往侧重于特定的程序 (STARR与VR),而不是患者的表型.
- 这种方法可能会导致不理想的结果和程序驱动的护理.
研究的目的:
- 综合关于ODS的堆过直肠切除 (STARR) 和腹腔直肠切除 (VR) 的证据.
- 提出一种以表型为指导的算法,用于ODS手术决策.
- 在管理ODS时倡导精准医学.
主要方法:
- 审查当代证据,比较STARR和VR结果.
- 结构化的手术前检查概要,包括症状评分,缺口学和测量.
- 手术和非手术治疗选择的表型特定讨论.
主要成果:
- 与VR相比,STARR与较高的晚期复发和紧急率有关.
- 虚拟现实提供了更持久的缓解,但涉及到更大的侵入性和网格问题.
- 一个结构化的工作可以区分ODS表型以进行量身定制的治疗.
结论:
- 以表型为导向的管理优于以程序为导向的ODS护理.
- 拟议的算法可以改善患者的选择,并减少功能衰竭.
- 需要进一步的研究,包括分层试验和注册表,以验证算法.
关键词:
功能性便秘是一种功能性便秘.多学科的管理管理.阻塞性排便综合征 阻塞性排便综合征患者的分层是患者的分层.骨盆底疾病 骨盆底疾病以表型为指导的手术是以表型为指导的.接质的过直肠切除术.腹腔直垂体质 (Ventral rectopexy) 是一个直垂体体质.更多相关视频
07:22Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
1.2K
04:05Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
1.0K
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
795
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
795
Assessment of the Rectum and Anus
1.6K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.6K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
938
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
938
