直肠阴道瘘晚期癌症患者的早期腹腔镜结肠造口术:七名患者的治疗结果

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Journal of Nippon Medical School Pub Date : 2024-08-21 DOI:10.1272/jnms.JNMS.2025_92-504
Satoshi Akita, Kei Ishimaru, Mitsunori Sato, Katsuya Watanabe, Hiroki Sugishita, Yusuke Ogi, Jun Kuwabara, Kazufumi Tanigawa, Satoshi Kikuchi, Hironori Matsumoto, Motohira Yoshida, Shigehiro Koga, Taro Oshikiri
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引用次数: 0

摘要

直肠阴道瘘(RVF)是直肠和阴道之间的异常通道,很多情况下需要手术治疗。虽然根据患者的病情,直肠阴道瘘有许多不同的治疗方法,但目前还没有既定的直肠阴道瘘护理指南。本研究旨在评估腹腔镜结肠造口术在晚期癌症 RVF 患者中的效果,以及该手术的安全性和有效性。在这项研究中,7 名患有 RVF 的女性晚期癌症患者于 2015 年至 2018 年在我校医院住院并成功接受了腹腔镜结肠造口术治疗。我们对她们的病历资料进行了回顾性评估。早期使用分流造口有利于及时恢复癌症治疗,并能尽早接受化疗或放疗。虽然有三名患者出现了阴道漏便,但所有患者均已康复,在癌症治疗期间既没有疼痛,也没有感染。虽然结肠造口术给患者带来了身体和精神上的负担,但却改善了 RVF 引起的感染和疼痛。我们的结论是,早期使用分流造口有两个效果:显著改善了感染控制,促进了癌症治疗的快速恢复。
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Early Laparoscopic Colostomy in Advanced Cancer Patients with Rectovaginal Fistula: Results of Seven Patients.

A rectovaginal fistula (RVF) is an abnormal tract between the rectum and vagina, which requires surgical intervention in many cases. Although there are many different therapeutic approaches for RVF depending on the patient's' condition, there are no established guidelines for the care of RVF. This study aimed to evaluate the results of laparoscopic colostomy in advanced cancer patients with RVF, and the safety and efficacy of this surgery. In this study, seven female advanced cancer patients with RVF were hospitalized and successfully treated with laparoscopic colostomy from 2015 to 2018 at our university hospital. Their data were retrospectively evaluated from their medical records. The early use of diverting stomas facilitated timely resumption of cancer treatment and enabled early treatment with chemotherapy or radiotherapy. Although vaginal stool leakage affected three patients, all patients recovered, experiencing neither pain nor infection during their cancer treatment. While colostomy was physically and mentally taxing for the patients, it improved the infection and pain caused by the RVF. We conclude that the early use of diverting stomas had two effects: a significant improvement in infection management and facilitation of the rapid resumption of cancer treatment.

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来源期刊
Journal of Nippon Medical School
Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-
CiteScore
1.80
自引率
10.00%
发文量
118
期刊介绍: The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.
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