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在机器人辅助的最小侵入性食道切除术 (RAMIE) 后,食道切除术后的腹膜脱落
Stefanie Brunner1, Dolores T Müller1, Jennifer A Eckhoff1
1Department of General, Visceral, Cancer and Transplantat Surgery, University Hospital of Cologne, 50937 Cologne, Germany.
Journal of clinical medicine
|September 28, 2023
概括
在Ivor Lewis机器人辅助微创性食道切除术 (IL-RAMIE) 后,食道切除术后的腹膜脱落 (PDP) 在5.9%的患者中发生. 微创手术是IL-RAMIE后PDP的安全有效治疗方法.
科学领域:
- 胸部外科手术 胸部外科手术
- 微创手术是最少的侵入性手术.
- 胃肠道手术 胃肠道手术
背景情况:
- 食道切除术后的腹膜脱落 (PDP) 是食道切除术后的一种严重并发症.
- 在Ivor Lewis机器人辅助微创食道切除术 (IL-RAMIE) 后,关于PDP发生率和管理的数据有限.
研究的目的:
- 为了评估IL-RAMIE后的PDP发生率.
- 确定PDP后IL-RAMIE的最小侵入性管理的安全性和可行性.
主要方法:
- 在2017年4月至2022年12月期间接受IL-RAMIE的患者的回顾性分析.
- 纳入标准:在IL-RAMIE后发展PDP的患者.
- 收集到的数据及时到脱落,症状,治疗,手术方法,和复发.
主要成果:
- 185名患者中有11名 (5.9%) 患有PDP,平均发病时间为241天.
- 常见的症状包括反流,恶心,吐和疼痛;三分之一无症状.
- 91%的患者接受了微创修复性手术,平均住院时间为12天.
- 复发发生在36%的患者中.
结论:
- 在IL-RAMIE后,PDP的最小侵入性重新定位是一种安全有效的方法.
- 进一步的研究可能会探索降低复发率的策略.
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