膀胱癌相关腹腔镜根治性膀胱切除术和回肠导管转流术的三孔快速通道手术与传统围手术期管理:中国经验。

IF 2.5 3区 医学 Q3 ONCOLOGY
Guangzheng Lin, Xin Wang, Jiaxing Ma, Wei Sun, Chengxiang Han, Liang Tang
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引用次数: 0

摘要

研究目的本研究旨在探讨在腹腔镜根治性膀胱切除术和回肠导管术患者中采用三孔快速通道手术(FTS)对术后恢复、住院时间和并发症的影响:这项回顾性研究分析了2011年12月至2023年1月期间在安徽医科大学第二医院接受腹腔镜根治性膀胱切除术的230例浸润性膀胱癌患者。50名患者接受了传统手术(CS),180名患者接受了三孔膀胱切除术(FTS)。对患者的正常饮食时间、首次排气时间、术后恢复天数和并发症进行了评估。术前和术后第 1、3 和 7 天监测血清 C 反应蛋白水平的变化:结果:接受三孔 FTS 的患者首次排气的时间更短(P 结论:三孔 FTS 的患者首次排气的时间更短:我们的研究结果表明,三孔胃肠吻合术可加快术后恢复,缩短住院时间。在接受腹腔镜根治性膀胱切除术的中国人群中,它比 CS 方案更安全、更有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fast-track surgery with three-port versus conventional perioperative management of bladder cancer associated laparoscopic radical cystectomy and Ileal conduit diversion: Chinese experience.

Objective: This study seeks to explore the impact of fast track surgery (FTS) with three-port in patients treated with laparoscopic radical cystectomy and ileal conduit on postoperative recovery, hospital stay and the complications.

Methods: This retrospective study analyzed 230 patients with invasive bladder cancer who underwent laparoscopic radical cystectomy at the Second Hospital of Anhui Medical University between December 2011 to January 2023. 50 patients received conventional surgery (CS) and 180 patients received FTS with three-port. Patients were assessed for time to normal diet consumption, time to passing first flatus, number of postoperative recovery days and complications. Trends of serum C-reactive protein levels were monitored preoperatively and on postoperative days 1, 3 and 7.

Results: Patients who underwent FTS with three-port had a shorter duration to first flatus (P < 0.05). And number of postoperative hospital days and the length of hospital stay were notably shorter in contrast to the CS group (P < 0.05). Serum CRP levels on postoperative day 7 were markedly reduced in those of the FTS group compared to the CS group (P < 0.05). Those of the CS group experienced more frequent rates of complications compared to those of the FTS with three-port group (P < 0.05).

Conclusion: Our findings demonstrate that the FTS with three-port program hastens postoperative recovery and reduces duration of hospital stay. It is safer and more effective than the CS program in the Chinese population undergoing laparoscopic radical cystectomy.

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来源期刊
CiteScore
4.70
自引率
15.60%
发文量
362
审稿时长
3 months
期刊介绍: World Journal of Surgical Oncology publishes articles related to surgical oncology and its allied subjects, such as epidemiology, cancer research, biomarkers, prevention, pathology, radiology, cancer treatment, clinical trials, multimodality treatment and molecular biology. Emphasis is placed on original research articles. The journal also publishes significant clinical case reports, as well as balanced and timely reviews on selected topics. Oncology is a multidisciplinary super-speciality of which surgical oncology forms an integral component, especially with solid tumors. Surgical oncologists around the world are involved in research extending from detecting the mechanisms underlying the causation of cancer, to its treatment and prevention. The role of a surgical oncologist extends across the whole continuum of care. With continued developments in diagnosis and treatment, the role of a surgical oncologist is ever-changing. Hence, World Journal of Surgical Oncology aims to keep readers abreast with latest developments that will ultimately influence the work of surgical oncologists.
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