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在腹切除术后,围缺陷的囊关闭

Alexandra Pellegrin¹, Gaétan Pasinato¹, Jean-Marc Regimbeau^1,2

¹Department of Digestive Surgery, Amiens University Hospital, Rond Point du Pr Cabrol, 80054, Amiens, France.

Langenbeck's archives of surgery

|August 14, 2023

概括

本研究介绍了用于腹腔经皮切除 (APE) 的囊串周围皮关闭 (PSPC). 该技术是安全和有效的,导致逗留时间缩短和患者早期康复.

科学领域:

手术技巧手术技巧
结肠直肠手术结肠直肠手术
伤口管理伤口管理

背景情况:

腹腔切除术 (APE) 是一种复杂的手术,通常与周围伤的并发症有关.
有效的围关闭对于患者的康复和降低发病率至关重要.
现有的关闭方法可能在愈合时间和并发症率方面存在局限性.

研究的目的:

描述和评估一个新的皮囊链周围关闭 (PSPC) 技术,在腹腔切除术 (APE) 之后.
评估PSPC在接受APE的患者的安全性,疗效和长期结果.
将PSPC的结果与传统的周围关闭方法进行比较.

主要方法:

一个回顾性单中心研究包括15名连续接受APE的患者,时间为2016年1月至2021年5月.
所有的APE指示和类型都被考虑了.
分析了患者的特征,术前特征,术后发病率 (整体和严重),停留时间 (LOS) 和长期结果.

主要成果:

该研究包括15名患者 (11名男性,4名女性;平均年龄64岁) 患有道癌或直肠腺癌.
总体发病率为60%,严重发病率为26%,再手术率为26%. 中位数LOS为9天.
平均随访时间为23.5个月,中位数周围伤关闭时间为96天,持续性鼻率为6%,一个切口.

结论:

带周围皮关闭 (PSPC) 是一种安全有效的方法,用于在腹腔切除术 (APE) 后关闭周围伤.
该技术有助于缩短住院时间,使患者能够更快地回家.
在伤口愈合和并发症率方面,PSPC表现出有希望的结果.

关键词:

腹周切除术是腹周切除术.周围关闭的关闭钱包绳 - - 钱包绳.手术部位感染手术部位感染

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