拼接侧对侧解剖切除术以逆转乳房切除术:一种简单且可复制的技术,使用视频
Goudarz T Passand1, Arthur Marichez1, Soline Celarier1
1Department of Colorectal Surgery, Haut Lévêque Hospital, Bordeaux University Hospital, Pessac, Bordeaux, France.
Langenbeck's archives of surgery
|June 19, 2023
概括
拼接性静脉切除术逆转是一种快速简单的手术技术,其结果与手工方法相似. 这种结肠切除关闭的方法为接受直肠手术的患者提供了安全和经济有效的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 手术技巧 手术技巧
- 结肠直肠手术 结肠直肠手术
背景情况:
- 保护性转移性静脉切除术是直肠外科手术中常见的一种手术,用于预防低直肠静脉切除术的并发症.
- 胸膜闭合,通常在手术后三个月进行,可以通过手工或合技术来完成.
- 之前的研究表明,手工和接式结节管关闭之间并发症率没有显著差异.
研究的目的:
- 描述标准的拼接侧对侧解剖切除技术,以扭转静脉切除术.
- 在现实世界的临床环境中评估与此技术相关的结果和并发症.
主要方法:
- 详细描述标准的10个步骤的骨髓切除术逆转技术,并提供插图和视频.
- 在2021年6月至2022年6月期间,从50名经历了结节切除术逆转的患者进行了回顾性数据收集.
主要成果:
- 结节瘤关闭的平均手术时间为46.8分钟.
- 平均住院时间为4.66天.
- 手术后的并发症包括肠道阻塞 (10%),出血 (4%) 和伤口感染 (2%);没有观察到动脉泄漏.
结论:
- 拼接侧对侧解剖切除是一种高效,简单,可重复的方法,用于逆转结节瘤.
- 针织技术显示,并发症的发生率与手工针织相比相当.
- 虽然产生初始成本,但紧式解剖切除器的运行时间缩短导致整体成本节省.
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