细分十二指肠切除:向定义指示,复杂性和编码的方向
Devanshi D Patel1, Ahmad B Abdulkarim2,3, Stephen W Behrman4
1Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA. devanshipatelmd@gmail.com.
概括
分段十二指肠切除是复杂的,但对于各种病理来说是安全的. 当前的编码系统可能无法准确地反映这些独特的外科手术程序的复杂性和资源密集性.
科学领域:
- 胃肠道手术 胃肠道手术
- 手术瘤学手术瘤学
- 手术结果研究研究.
背景情况:
- 细分十二指肠切除术很少进行,并且在技术上要求很高.
- 这些程序需要仔细考虑,因为十二指肠靠近重要的结构,如胆树,胰腺和介质血管.
研究的目的:
- 评估十二指肠切除的指示,手术策略和患者结果.
- 倡导一个不同的当前程序术语 (CPT) 和相对值单位 (RVU) 结构,用于十二指肠切除.
主要方法:
- 在2008年至2023年期间,31名患者接受了分离和部分十二指肠切除术的回顾性审查.
- 对临床表现,诊断方法,手术细节,90天的发病率和死亡率以及生存结果的分析.
主要成果:
- 该研究确定了31名患者,主要是女性,平均年龄为61岁.
- 常见的重建涉及侧对侧双结肠切除术;在11名患者中使用了胆道树的手术内评估,增加了手术时间.
- 与手术相关的发病率为23%,90天死亡率为1个;中位数的术后停留时间为9天. 病理包括良性和恶性瘤.
结论:
- 十二指甲切除是有效的治疗各种十二指甲病理.
- 这些手术涉及大量的手术时间,长时间住院,并与胰腺切除相比较的并发症率.
- 这些发现支持需要修订CPT和RVU系统,以更好地定义和评估研究和实践的十二指肠切除术.
相关概念视频
Endoscopic Procedures V: ERCP
324
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...
324
Inflammatory Bowel Disease V: Surgical Management
164
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
164
Endoscopic Procedures I: Esophagogastroduodenoscopy
151
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
151


