右半结肠切除术中回肠末端标本长度的变异：一项描述性研究。

Variation in the length of terminal ileum specimen in right hemicolectomy: a descriptive study.

作者信息

Ismail Fatima Qays, Öberg Stina, Wozniak Anita Bilde, Oggesen Birthe Thing, Rosenberg Jacob

机构信息

Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.

The Late-complication Clinic, Capital Region of Denmark, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.

出版信息

ANZ J Surg. 2023 Apr;93(4):951-955. doi: 10.1111/ans.18153. Epub 2022 Nov 11.

DOI:10.1111/ans.18153

PMID:36368701

Abstract

AIM

The aim of this study was to clarify the length of the bowel specimen and to assess if the length was affected by certain characteristics.

METHODS

Eligible patients were adults who had undergone right hemicolectomy for cancer in caecum, appendix, ascending colon or transverse colon from September 2019 to September 2020 at Herlev Hospital, Denmark. Data were collected from medical records. The primary outcome was the length of the resected terminal ileum. Secondary outcomes were to assess if body mass index (BMI), surgical approach, and neoadjuvant chemotherapy affected the length of the terminal ileum specimen, and to report the length of the colon specimen subdivided on the cancer locations.

RESULTS

In total, 50 patients were included. The median age was 74 years (range 36-91), 30 patients (60%) were females, and BMI was median 26 (range 17-45). The variation in the length of terminal ileum specimen was median 5 cm (range 1-17). The explorative analyses showed significant positive correlation between the length of terminal ileum specimen and BMI (P = 0.050) but not surgical approach (P = 0.23) nor neoadjuvant chemotherapy (P = 0.51). The length of the colon specimen naturally differed according to the cancer location with a median length of 26 cm (range 14-90).

CONCLUSION

We found a variation in the length of the terminal ileum specimen without an apparent explanation for this variation. The colon specimen also varied naturally according to cancer location.

摘要

目的

本研究旨在明确肠标本的长度，并评估该长度是否受某些特征的影响。

方法

符合条件的患者为2019年9月至2020年9月在丹麦赫勒夫医院因盲肠、阑尾、升结肠或横结肠癌接受右半结肠切除术的成年人。数据从医疗记录中收集。主要结局是切除的回肠末端长度。次要结局是评估体重指数（BMI）、手术方式和新辅助化疗是否影响回肠末端标本的长度，并报告根据癌症位置细分的结肠标本长度。

结果

共纳入50例患者。中位年龄为74岁（范围36 - 91岁），30例患者（60%）为女性，BMI中位数为26（范围17 - 45）。回肠末端标本长度的变化中位数为5 cm（范围1 - 17）。探索性分析显示，回肠末端标本长度与BMI之间存在显著正相关（P = 0.050），但与手术方式（P = 0.23）和新辅助化疗（P = 0.51）无关。结肠标本的长度根据癌症位置自然不同，中位数长度为26 cm（范围14 - 90）。