腹腔镜横向腹部释放复杂的腹腔修复:技术和初步发现
H Riediger1, P Holzner2, L Kundel3
1Department of Surgery, Vivantes Humboldt Hospital, Academic teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany. Hartwig.Riediger@vivantes.de.
Hernia : the journal of hernias and abdominal wall surgery
|August 28, 2023
概括
跨腹部释放 (TAR) 手术是一种切口的技术,已成功转化为腹腔镜方法. 最初的结果显示可行性与低并发症率,尽管操作时间很长.
科学领域:
- 腹部外科手术 腹部外科手术
- 微创手术是最少的侵入性手术.
- Hernia 修复 Hernia 修复 的方法
背景情况:
- 里弗斯-斯托帕逆直肠和横腹部释放 (TAR) 技术已建立用于开放腹腔和切口的修复.
- 开放式TAR的原则正在适应最小侵入性的外科手术方法.
研究的目的:
- 为了研究跨腹膜腹腔镜横向腹部释放 (TAR) 的初始结果,用于腹部切口的修复.
主要方法:
- 一项为期20个月的研究包括23名连续接受腹腔镜TAR治疗切口的患者.
- 这项手术涉及跨腹膜粘合解,逆直肠空间开发,TAR,中线重建和外腹膜网格放置.
主要成果:
- 修复了23个切口,其中70%被归类为M2-M4,60%为W3.
- 患者的中位年龄为68岁,中位BMI为31.
- 平均手术时间为313分钟,平均住院时间为4天.
- 总体发病率为26% (克拉维恩-丁多等级1:4患者;等级2+3b:2患者).
结论:
- 腹腔镜TAR是一种可行的方法来治疗腹腔切口.
- 虽然手术时间延长了,但手术后并发症率很低,住院时间很短.
- 需要进一步评估以确定这种微创技术的临床相关性.
相关概念视频
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...


