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机器人直肠癌手术:肥胖对早期结果影响的对比研究。

Robotic rectal cancer surgery: comparative study of the impact of obesity on early outcomes.

机构信息

Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Department of Radiology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Br J Surg. 2020 Nov;107(12):1552-1557. doi: 10.1002/bjs.12023. Epub 2020 Sep 30.

DOI:10.1002/bjs.12023
PMID:32996597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7938826/
Abstract

The aim of this study was to compare the outcomes of robotic total mesorectal excision (TME) in obese versus non-obese patients. A total of 533 patients, of whom 161 were obese (30·2 per cent) underwent robotic proctectomy during the study interval. Patient obesity was not associated with adverse short-term clinical outcomes after robotic rectal cancer surgery. Indicated in the obese perhaps?

摘要

本研究旨在比较肥胖与非肥胖患者接受机器人全直肠系膜切除术(TME)的结果。在研究期间,共有 533 名患者接受了机器人直肠切除术,其中 161 名(30.2%)患者为肥胖。肥胖患者在接受机器人直肠癌手术后短期临床结局并不差。也许在肥胖患者中也适用?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e39d/7938826/fdd9ded39524/bjs12023-toc-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e39d/7938826/fdd9ded39524/bjs12023-toc-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e39d/7938826/fdd9ded39524/bjs12023-toc-0001.jpg

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本文引用的文献

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Randomized clinical trial of accelerated enhanced recovery after minimally invasive colorectal cancer surgery (RecoverMI trial).加速微创结直肠癌手术后加速康复(RecoverMI 试验)的随机临床试验。
Br J Surg. 2019 Sep;106(10):1311-1318. doi: 10.1002/bjs.11223. Epub 2019 Jun 19.
2
Does obesity impact postoperative outcomes following robotic-assisted surgery for rectal cancer?肥胖是否会影响直肠癌机器人辅助手术后的结果?
Surg Endosc. 2018 Dec;32(12):4886-4892. doi: 10.1007/s00464-018-6247-4. Epub 2018 Jul 9.
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Effect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal Cancer: The ROLARR Randomized Clinical Trial.
机器人直肠癌手术中肠系膜下动脉高位与低位结扎的短期手术结局比较:一项倾向评分匹配分析
J Robot Surg. 2025 Jan 4;19(1):41. doi: 10.1007/s11701-024-02209-w.
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Rise in Minimally Invasive Surgery for Colorectal Cancer Is Associated With Adoption of Robotic Surgery.结直肠癌微创手术的增加与机器人手术的采用有关。
Dis Colon Rectum. 2025 Apr 1;68(4):426-436. doi: 10.1097/DCR.0000000000003617. Epub 2025 Jan 2.
5
The Impact of Bariatric Surgery on the Incidence of Colorectal Cancer in Patients with Obesity-a Systematic Review and Meta-analysis of Registry Data.减重手术对肥胖患者结直肠癌发病率的影响:基于注册数据的系统评价和荟萃分析。
Obes Surg. 2023 Aug;33(8):2293-2302. doi: 10.1007/s11695-023-06674-4. Epub 2023 Jun 21.
6
Impact of obesity on patients undergoing surgery for rectal cancer in Australia and New Zealand.肥胖对在澳大利亚和新西兰接受直肠癌手术的患者的影响。
Int J Colorectal Dis. 2023 Jun 8;38(1):163. doi: 10.1007/s00384-023-04447-0.
7
Relationship between body mass index and short-term postoperative prognosis in patients undergoing colorectal cancer surgery.体重指数与结直肠癌手术患者术后短期预后的关系。
World J Clin Cases. 2023 Apr 26;11(12):2766-2779. doi: 10.12998/wjcc.v11.i12.2766.
机器人辅助手术与传统腹腔镜手术对直肠癌切除患者中转开腹风险的影响:ROLARR随机临床试验
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JAMA. 2015 Oct 6;314(13):1356-63. doi: 10.1001/jama.2015.12009.
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J Clin Oncol. 2014 Jun 10;32(17):1804-11. doi: 10.1200/JCO.2013.54.3694. Epub 2014 May 5.