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低位前切除术综合征:当前的认识与管理

Low Anterior Resection Syndrome: Current Understanding and Management.

作者信息

Bhattacharyya Supratim, Bhattacharya Antarip, Das Prosenjit, Choraria Amit

机构信息

Surgical Oncology, Apollo Hospitals, Kolkata, IND.

General Surgery, Newham University Hospital, Barts Health NHS Trust, London, GBR.

出版信息

Cureus. 2025 May 12;17(5):e83942. doi: 10.7759/cureus.83942. eCollection 2025 May.

Abstract

Low anterior resection syndrome (LARS) is a common and often debilitating complication following sphincter-preserving surgery for rectal cancer. With evolving techniques in surgical oncology, sphincter preservation has become more prevalent; however, this has led to an increased incidence of postoperative bowel dysfunction. This narrative review explores the current understanding of LARS, including its definition, pathophysiology, clinical evaluation, treatment options, and preventive strategies. Emphasis is placed on both conservative and surgical management approaches, as well as the importance of patient education and multidisciplinary care in improving quality of life.

摘要

低位前切除综合征(LARS)是直肠癌保肛手术后常见且往往使人衰弱的并发症。随着外科肿瘤学技术的不断发展,保肛手术变得更加普遍;然而,这导致了术后肠道功能障碍的发生率增加。本叙述性综述探讨了目前对LARS的认识,包括其定义、病理生理学、临床评估、治疗选择和预防策略。重点关注保守和手术管理方法,以及患者教育和多学科护理在改善生活质量方面的重要性。

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