以前的胃切除术史是否会影响腹腔镜胆囊切除术的外科结果?
Xin-Peng Shu1, Ze-Lin Wen2, Qing-Shu Li3,4,5
1Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
BMC surgery
|October 23, 2023
概括
之前经过胃切除术 (胃切除手术) 的患者在腹腔镜胆囊切除术 (胆囊切除手术) 中经历了更长的手术时间,更高的转化率,增加的血液损失和延长的住院时间. 外科医生必须仔细考虑这些因素,以获得更好的患者结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 腹腔镜胆囊切除术 (LC) 是一种常见的手术.
- 以前的胃切除术可能会改变腹部解剖学和生理学.
- 之前胃切除术对LC结局的影响还不清楚.
研究的目的:
- 为了研究胃切除术史对腹腔镜胆囊切除术期间手术结果的影响.
- 为了比较经过胃切除术的患者和没有经过胃切除术的患者之间的结果.
主要方法:
- 在PubMed,Embase和Cochrane图书馆数据库中进行了系统的文献搜索,直到2023年4月.
- 七项涉及8193名患者的研究被纳入了分析.
- 纽卡斯尔-太华尺度评估了研究质量;RevMan 5.4用于数据分析.
主要成果:
- 之前经过胃切除术的患者年龄较大,男性比例较高.
- 胃切除组表现出明显更长的LC手术时间,更高的转化率和增加的手术内流血.
- 在有胃切除病史的患者中,术后住院时间也更长.
结论:
- 以前的胃切除术与腹腔镜胆囊切除术期间的手术结果较差有关.
- 这些包括延长的手术时间,增加的并发症和延长的恢复时间.
- 为了减轻风险,外科医生需要对有胃切除病史的患者提高意识和仔细规划.
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