为了安全和快速的手术:使用SAND气球导管治疗急性胆囊炎
Koya Yasukawa1, Akira Shimizu1, Koji Kubota1
1Department of Surgery, Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Journal of hepato-biliary-pancreatic sciences
|August 7, 2023
概括
沙气球导管安全有效地缩短了手术时间,并减少了急性胆囊炎 (AC) 病例中的血液损失. 它被推用于性AC和经验不够丰富的外科医生.
科学领域:
- 手术创新 在外科创新.
- 胃肠道手术 胃肠道手术
- 医疗器械的有效性 医疗器械的有效性
背景情况:
- 在急性胆囊炎 (AC) 中,SAND气球导管对于腹腔镜胆囊切除术的临床实用性尚未得到充分证实.
- 急性胆囊炎带来了重大的外科手术挑战,需要用于紧急手术的有效工具.
研究的目的:
- 评估SAND气球导管在急性胆囊炎患者的腹腔镜胆囊切除术中的疗效和安全性.
- 为了比较手术结果,患者接受了手术,并没有SAND气球导管的手术结果.
主要方法:
- 在新宿大学进行了一项回顾性队列研究,涉及接受紧急胆囊切除术的患者.
- 患者被分为两组:那些使用SAND气球导管的人 (S组,n=44) 和那些没有 (非S组,n=47) 的人.
主要成果:
- 与非S组相比,S组的外科手术持续时间明显较短 (p=0.031).
- 在S组 (p=0.013) 中,手术期间的输血显著减少,输血率相似.
- 在非S组中,术后腹膜内感染的发生率趋向于更高 (p=0.076),而非S组患者中,胆汁泄漏发生在34%的非S组患者中.
结论:
- 沙气球导管是急性胆囊炎患者的安全有效的手术选择.
- 特别建议在性胆囊炎的情况下使用,以及手术经验不到10年的外科医生.
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