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纹身或金属夹放置？对单中心行微创前入路切除术的术前定位方法的结局进行回顾。

Tattooing or Metallic Clip Placement? A Review of the Outcome Surrounding Preoperative Localization Methods in Minimally Invasive Anterior Resection Performed at a Single Center.

机构信息

Division of Colorectal Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung.

Department of Surgery, Taichung Veterans General Hospital Puli Branch, Nantou, Taiwan.

出版信息

Surg Laparosc Endosc Percutan Tech. 2021 Oct 14;32(1):101-106. doi: 10.1097/SLE.0000000000001010.

DOI:10.1097/SLE.0000000000001010
PMID:34653111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8812424/
Abstract

BACKGROUND

For minimally invasive colorectal surgery, preoperative localization is a typical procedure. We here aimed to analyze compared 2 different localization methods in terms of short-term outcomes, like the operative outcome and postoperative complication rates based on real-world data.

MATERIALS AND METHODS

This was a retrospective analysis study conducted at a medical center. We enrolled patients who were presented with colonic tumor between January 1, 2016, and December 31, 2019, and they had undergone laparoscopic anterior resection in a single institution. Data included patient characteristics, operative outcome, length of hospital stay, and postoperative complications.

RESULTS

The preoperative localization group had a better resection margin (4 vs. 3 cm; P<0.001) and fewer procedures of intraoperative colonoscopy (4.67% vs. 18.22%; P=0.002). Lymph node harvest occurred more in patients with endoscopic tattooing procedures than with metallic clip procedures (25 vs. 20; P=0.031). No significant difference was found regarding postoperative complications and the length of hospital stay.

CONCLUSIONS

Preoperative localization in a laparoscopic anterior resection led to better surgical planning and resection margin. The metallic clip placement was helpful in the preoperative localization and setting. The endoscopic tattooing method had a larger lymph node harvest and with fewer intraoperative colonoscopy.

摘要

背景

对于微创结直肠手术，术前定位是一种典型的程序。我们旨在根据真实世界的数据，分析比较两种不同的定位方法在短期结果方面的差异，如手术结果和术后并发症发生率。

材料与方法

这是一项在医疗中心进行的回顾性分析研究。我们招募了 2016 年 1 月 1 日至 2019 年 12 月 31 日期间出现结肠肿瘤并在单机构接受腹腔镜前切除术的患者。数据包括患者特征、手术结果、住院时间和术后并发症。

结果

术前定位组的切缘更好（4 厘米 vs. 3 厘米；P<0.001），术中结肠镜检查的次数更少（4.67% vs. 18.22%；P=0.002）。内镜标记组的淋巴结采集量多于金属夹组（25 个 vs. 20 个；P=0.031）。术后并发症和住院时间无显著差异。

结论

腹腔镜前切除术前定位可更好地进行手术规划和切缘定位。金属夹放置有助于术前定位和设置。内镜标记法的淋巴结采集量更大，术中结肠镜检查次数更少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/aa20b9b49340/sle-32-101-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/4d5f447a89b3/sle-32-101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/4e946aad1da2/sle-32-101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/b49484234988/sle-32-101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/040d04ef65b2/sle-32-101-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/c2f90ce336e6/sle-32-101-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/aa20b9b49340/sle-32-101-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/4d5f447a89b3/sle-32-101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/4e946aad1da2/sle-32-101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/b49484234988/sle-32-101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/040d04ef65b2/sle-32-101-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/c2f90ce336e6/sle-32-101-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da35/8812424/aa20b9b49340/sle-32-101-g006.jpg

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