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腹腔镜抗流体手术:老问题得到了答案吗? 部分或全部的资金申请?

Marco Ettore Allaix¹, Fabrizio Rebecchi¹, Alex Bellocchia¹

¹University of Torino, Department of Surgical Sciences - Torino, Italy.

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

|July 12, 2023

概括

在长期治疗的80-90%的患者中, laparoscopic全方位 fundoplication为胃食道逆流性疾病 (GERD) 提供了很好的结果. 然而,对于患有食道机动性受损的患者来说,可以优先进行部分基复合,以防止失消.

科学领域:

胃肠病学和外科创新的创新
对抗反流外科手术技术的比较分析.

背景情况:

laparoscopic 整体 fundoplication 是手术治疗 GERD 的确立的黄金标准.
它表现出优秀的短期结果,快速恢复和最小的发病率.
长期的症状缓解和反流控制在80-90%的患者中实现.

研究的目的:

为了比较 laparoscopic 部分 fundoplication (前/后) 与总 fundoplication 的外科结果.
评估不同抗反流手术的疗效和潜在并发症.
为了确定每个手术的最佳外科候选人.

主要方法:

在三十年的时间里,对腹腔镜部分 (前/后) 和整 fundoplication 程序的外科结果进行了审查和比较.
分析患者的康复,发病率,症状缓解和反流控制.
对术后并发症的评估,特别是食障碍和与气体有关的症状.

主要成果:

在大多数患者中, laparoscopic 整 fundoplication 提供了优秀的长期症状缓解.
一个小但显著的术后食障碍和气体相关症状的发病率与总囊复合有关.
在特定的患者群体中,部分基底复合技术显示了可比的结果.

结论:

对于大多数GERD患者来说, laparoscopic 整 fundoplication 仍然非常有效.
部分 fundoplication (前部或后部) 是推的GERD继发性硬皮病或食道运动受损.
这种方法旨在防止食障碍和食道排空问题在风险人群.

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