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Colorectal Dis:手术方法对右半结肠切后淋巴结产量的影响

2017-12-17 zhangfan MedSci原创

淋巴结产量右半结肠切除术手术方法
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研究认为，机器人辅助右半结肠切除术可提高淋巴结产量，表明该方法中隔层病变切除效果显著，但不同手术方法对生存期的影响仍需进一步考察

肿瘤结肠切除术后淋巴结产量与预后相关，但不同手术方法对淋巴结产量的影响尚未被充分研究。

2012-14年间，单一医疗中心进行右半结肠切除的患者参与本次回顾性研究。研究的主要终点是淋巴结产量以及淋巴结与手术组织长度比(LN-LSS)。采用多变量混合模型以及敏感性分析评估不同手术方法对术后淋巴结产量的影响。

181名患者接受开腹手术(O-RC)、163人接受腹腔镜手术(L-RC)以及119人接受机器人辅助的右半结肠切除术(R-RC)。转移性前兆女性患者开腹手术最为常见。O-RC， L-RC 以及R-RC组平均淋巴结产量分别为28、29以及34，平均LN-LSS为0.83、0.91以及1.0。R-RC淋巴结产量以及LN-LSS最高(P < 0.01)。多变量混合模型以及敏感性分析结果一致。

研究认为，机器人辅助右半结肠切除术可提高淋巴结产量，表明该方法中隔层病变切除效果显著，但不同手术方法对生存期的影响仍需进一步考察。

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    2018-07-16 cmj8wellington

    #Dis#

    0

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    2018-06-14 shalley66

    #Rectal#

    0

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    2018-10-31 windight

    #CTA#

    0

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2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270067, encodeId=1ba02e006771, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sun Dec 17 10:08:24 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270061, encodeId=01f22e0061b8, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEL1lbeB4KXPkoejHWBRHudEaddxiaBQDGcgEsNibh974wniaAEJAYLAC6fddUD5MmvECdAOmMjNWbPibg/132, 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    2017-12-20 大爰

    学习了谢谢分享!!

    0

  5. 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    2017-12-18 sodoo

    #淋巴结#

    0

  6. 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2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270067, encodeId=1ba02e006771, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sun Dec 17 10:08:24 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270061, encodeId=01f22e0061b8, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEL1lbeB4KXPkoejHWBRHudEaddxiaBQDGcgEsNibh974wniaAEJAYLAC6fddUD5MmvECdAOmMjNWbPibg/132, createdBy=57332207937, createdName=Fiona_rj, createdTime=Sun Dec 17 09:42:42 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270053, encodeId=46512e00537e, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Dec 17 09:32:06 CST 2017, time=2017-12-17, status=1, ipAttribution=)]
    2017-12-18 ms5768352621950538

    #Colorectal#

    0

  7. 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2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270067, encodeId=1ba02e006771, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sun Dec 17 10:08:24 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270061, encodeId=01f22e0061b8, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEL1lbeB4KXPkoejHWBRHudEaddxiaBQDGcgEsNibh974wniaAEJAYLAC6fddUD5MmvECdAOmMjNWbPibg/132, createdBy=57332207937, createdName=Fiona_rj, createdTime=Sun Dec 17 09:42:42 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270053, encodeId=46512e00537e, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Dec 17 09:32:06 CST 2017, time=2017-12-17, status=1, ipAttribution=)]
    2017-12-18 yangcx0917

    #手术方法#

    0

  8. 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channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5005, encryptionId=eb615005c7, topicName=Colorectal)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/JicbM9ddhTaNkKdhKQ8adCYWzVJQKZXsqSTg3ia12tmdibiaoTZTEjBqfVvmfODz1KpD73pKy4h1W0fAXj62kxGbQA/132, createdBy=d2132500095, createdName=ms5768352621950538, createdTime=Mon Dec 18 23:37:00 CST 2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1465793, encodeId=c0941465e93c6, content=<a href='/topic/show?id=b5765443896' target=_blank style='color:#2F92EE;'>#手术方法#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54438, encryptionId=b5765443896, topicName=手术方法)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5506759018, createdName=yangcx0917, createdTime=Mon Dec 18 23:37:00 CST 2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270067, encodeId=1ba02e006771, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sun Dec 17 10:08:24 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270061, encodeId=01f22e0061b8, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEL1lbeB4KXPkoejHWBRHudEaddxiaBQDGcgEsNibh974wniaAEJAYLAC6fddUD5MmvECdAOmMjNWbPibg/132, createdBy=57332207937, createdName=Fiona_rj, createdTime=Sun Dec 17 09:42:42 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270053, encodeId=46512e00537e, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Dec 17 09:32:06 CST 2017, time=2017-12-17, status=1, ipAttribution=)]
    2017-12-17 神功盖世

    学习

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=2012510, encodeId=d3f5201251014, content=<a href='/topic/show?id=7d69598468' target=_blank style='color:#2F92EE;'>#Dis#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5984, encryptionId=7d69598468, topicName=Dis)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Mon Jul 16 20:37:00 CST 2018, time=2018-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1999154, encodeId=35f61999154a5, content=<a href='/topic/show?id=70e1152462e' target=_blank style='color:#2F92EE;'>#Rectal#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15246, encryptionId=70e1152462e, topicName=Rectal)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f378286, 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channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5005, encryptionId=eb615005c7, topicName=Colorectal)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/JicbM9ddhTaNkKdhKQ8adCYWzVJQKZXsqSTg3ia12tmdibiaoTZTEjBqfVvmfODz1KpD73pKy4h1W0fAXj62kxGbQA/132, createdBy=d2132500095, createdName=ms5768352621950538, createdTime=Mon Dec 18 23:37:00 CST 2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1465793, encodeId=c0941465e93c6, content=<a href='/topic/show?id=b5765443896' target=_blank style='color:#2F92EE;'>#手术方法#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54438, encryptionId=b5765443896, topicName=手术方法)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5506759018, createdName=yangcx0917, createdTime=Mon Dec 18 23:37:00 CST 2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270067, encodeId=1ba02e006771, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sun Dec 17 10:08:24 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270061, encodeId=01f22e0061b8, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEL1lbeB4KXPkoejHWBRHudEaddxiaBQDGcgEsNibh974wniaAEJAYLAC6fddUD5MmvECdAOmMjNWbPibg/132, createdBy=57332207937, createdName=Fiona_rj, createdTime=Sun Dec 17 09:42:42 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270053, encodeId=46512e00537e, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Dec 17 09:32:06 CST 2017, time=2017-12-17, status=1, ipAttribution=)]
    2017-12-17 Fiona_rj

    赞

    0

  10. 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2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270067, encodeId=1ba02e006771, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sun Dec 17 10:08:24 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270061, encodeId=01f22e0061b8, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/PiajxSqBRaEL1lbeB4KXPkoejHWBRHudEaddxiaBQDGcgEsNibh974wniaAEJAYLAC6fddUD5MmvECdAOmMjNWbPibg/132, 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    2017-12-17 thlabcde

    好资料学习了!

    0

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