腹膜透析导管和腹膜内器官之间的粘附的 laparoscopic 观察:一个回顾性,观察性研究研究
Takuya Maeda1,2, Hiroaki Io1,2, Kazuaki Hara1
1Department of Nephrology, Juntendo University Faculty of Medicine, Tokyo, Japan.
Nephrology (Carlton, Vic.)
|August 21, 2023
概括
腹膜透析导管的 laparoscopic 移除在16%的患者中发现了显著的粘附. 这种技术有助于防止在导管断管过程中胃肠道受伤,提高患者的安全性.
科学领域:
- 最少侵入性的手术
- 腎臟病學 (nephrology) 是一種醫學.
- 胃肠道手术 胃肠道手术
背景情况:
- 腹腔透析 (PD) 导管切除是常见的.
- 很少有研究详细介绍PD导管断管方法.
- 封装腹硬化症诊断越来越多地使用腹腔镜.
研究的目的:
- 检查PD导管切除期间的腹腔镜检查结果.
- 为了评估与腹腔镜解相关的术后并发症.
- 要突出腹腔镜在PD导管切除期间检测粘附的作用.
主要方法:
- 对119例腹腔镜PD导管断管 (2003-2018) 的回顾性分析.
- 由Juntendo大学医院的胃肠道外科医生进行.
- 患者数据包括年龄,性别,PD持续时间,周周炎病史和PD终止时的年龄.
主要成果:
- 19.0%的病例 (n=19) 显示了PD导管和腹腔内器官之间的粘附.
- 口腔纠发生在10.9% (n=13),小肠发生在3.4% (n=4),肠与腹壁粘附发生在1.7% (n=2).
- 在腹腔镜手术后没有报告术后并发症.
结论:
- 盲目PD导管断管可能会在患有粘附的患者中造成胃肠道损伤.
- 腹腔镜对于识别PD导管和内部器官之间的粘附至关重要.
- laparoscopic-assisted decannulation通过可视化和管理粘附,确保了患者的安全.
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