在急性胆囊炎中,通过皮肤通过肝胆囊排水后,腹腔镜胆囊切除术延迟的增加难度和并发症:一项回顾性研究
Ya-Qi Liu1, Xuan Cai1, Zhi-Xue Zheng1
1Department of General Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
BMC surgery
|September 13, 2023
概括
皮肤透过肝胆囊排水 (PTGBD) 有效治疗急性胆囊炎,但可能使延迟腹腔镜胆囊切除术 (DLC) 复杂化. 在DLC之前接受PTGBD的患者经历了更长的手术,增加了血液损失和更高的并发症率.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 临床结果研究研究
背景情况:
- 透皮透肝胆囊排水 (PTGBD) 与胆囊切除术相比,为急性胆囊炎提供了一种不那么侵入性的方法.
- 以前的PTGBD对随后的延迟腹腔镜胆囊切除术 (DLC) 的复杂性和结果的影响尚未得到充分证实.
研究的目的:
- 为了研究DLC的临床影响和手术困难,在中度急性胆囊炎的患者中,这些患者之前接受过PTGBD.
主要方法:
- 对113名中度急性胆囊炎患者 (2018年东京指南) 进行DLC的回顾性分析.
- 患者被分为PTGBD (n=27) 和非PTGBD (n=86) 组.
- 使用基于视频审查的TG18得分来评估手术困难;临床结果进行了比较.
主要成果:
- 与非PTGBD组相比,PTGBD组的术后停留时间显着更长,血液流失增加,手术时间更长,TG18难度得分更高.
- 没有观察到群体之间的转换率有显著差异.
- 在PTGBD群体中,病率在统计学上更高.
结论:
- PTGBD有效缓解急性胆囊炎的症状.
- 然而,之前的PTGBD可能会增加与随后的DLC相关的手术困难和并发症率.
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