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腹腔镜治疗阴性结肠穿孔的治疗方法
Boaz Loberman1, Eviatar Kuhnreich2, Ibrahim Matter2
1Department of General Surgery, Bnai-Zion Medical Center, Haifa, Israel. boazloberman@gmail.com.
International journal of colorectal disease
|October 27, 2023
概括
由结肠镜检查引起的阳性结肠穿孔 (ICP) 可以通过腹腔镜安全地治疗. 这种方法为大多数ICP病例提供了可行的选择,导致了良好的患者结果.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
背景情况:
- 阳性结肠穿孔 (ICP) 是一种严重的结肠镜复杂症,具有显著的发病率和死亡率.
- 发病率在0.03%至3%之间,治疗决策基于各种临床因素.
- 治疗方案包括内镜修复,保守管理和手术.
研究的目的:
- 评估腹腔镜治疗阴性结肠穿孔的安全性和可行性.
- 分析ICP患者的临床表现,治疗方法和短期结果.
主要方法:
- 以后回顾在Bnai-Zion医疗中心的51个ICP病例 (2010-2021年).
- 对临床表现,诊断方法和治疗干预措施的分析.
- 腹腔镜和开放外科手术方法之间的结果比较.
主要成果:
- 84%的患者接受了手术管理,88%的患者最初接受了腹腔镜治疗.
- 腹腔镜治疗包括80%的初级合和19%的结肠切除.
- laparoscopic 方法导致较低的ICU入院率 (2%) 与腹腔切除 (55%) 相比,总体恢复率为96%.
结论:
- 腹腔镜治疗iatrogenic结肠穿孔是安全的和可行的.
- 对于大多数阳性结肠穿孔病例,建议采用腹腔镜方法.
- 最少侵入性技术可以改善患者的治疗结果,并减少并发症.
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