经腹腔镜腹会阴切除术放置预防性补片与Sugarbaker技术的有效性:1年的结果

IF 0.2 Q4 SURGERY Formosan Journal of Surgery Pub Date : 2023-10-13 DOI:10.1097/fs9.0000000000000091
Vinh Ngoc Truong Pham, Thinh Huu Nguyen, Triet Minh Le, Huy Duc Tran
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引用次数: 0

摘要

【摘要】目的本研究的目的是评估在越南胡志明市大学医学中心进行为期一年的随访后,采用Sugarbaker技术经腹腔镜腹会阴切除术预防直肠癌造口旁疝的疗效。方法前瞻性研究。在2018年11月至2022年7月期间,43例低位直肠癌患者接受了腹腔镜下腹部会阴切除术,分为两组:研究组(n = 15)采用Sugarbaker技术预防性放置补片,对照组(n = 28)。所有患者都被追踪了至少一年,并进行了腹部计算机断层扫描。Kaplan Meier法计算1年后造口旁疝发生率。采用logrank试验比较两组造口旁疝发生率。结果本研究纳入43例患者;男女比例约为1:1;年龄中位数为62岁;最小的年龄是40岁;最年长的是92岁。直肠癌III期的发病率为41.8%。27.9%的病例采用新辅助放化疗。平均手术时间为184分钟。补片放置的平均时间为15分钟。总并发症发生率为16.4%。没有网状物放置的问题。1年时,对照组的造口旁疝累积率高于研究组(35.7% vs 0%, logrank 6.4, p = 0.01)。结论采用Sugarbaker技术经腹腔镜腹会阴切除术预防性放置补片治疗直肠癌是安全的,不会增加并发症,并且减少了预防性放置补片患者1年造口旁疝的累积发生率。
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Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1 year results
ABSTRACT Objective The aim of this study was to assess the efficacy of parastomal hernia prevention with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer after a one-year follow-up at University Medical Center in Ho Chi Minh City, Vietnam. Methods Prospective study. Between 11/2018 and 7/2022, 43 patients with low rectal cancer underwent laparoscopic abdominoperineal resection and were divided into two groups: study (n = 15) with prophylactic mesh placement with the Sugarbaker technique and control (n = 28). All patients were tracked for at least a year and had an abdominal computed tomography scan. The Kaplan Meier method was used to calculate the rate of parastomal hernia after one year. To compare the rates of parastomal hernia in two groups, the logrank test was used. Results This study included 43 patients; the male to female ratio was approximately equal to 1:1; the median age was 62; the youngest age was 40; and the oldest age was 92. Rectal cancer stage III was found in 41.8% of people. Neoadjuvant chemoradiotherapy was used in 27.9% of cases. The average duration of operation was 184 minutes. The average time for mesh placement was 15 minutes. The overall complication rate was 16.4%. There were no issues with mesh placement. At one year, the control group had a higher cumulative rate of parastomal hernia than the study group (35.7% versus 0%, logrank 6.4, p = 0.01). Conclusions Prophylactic mesh placement with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer is safe, does not increase complications, and reduces the cumulative rate of a parastomal hernia at 1 year in patients who have undergone prophylactic mesh placement.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
11 weeks
期刊介绍: Formosan Journal of Surgery, a publication of Taiwan Surgical Association, is a peer-reviewed online journal with Bimonthly print on demand compilation of issues published. The journal’s full text is available online at http://www.e-fjs.org. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.
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