由于横环结肠静止术的侧面性而导致的胃:一个回顾性队列研究
Takuya Yano1, Masanori Yoshimitsu1, Chiyomi Ishibashi2
1Department of Surgery, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Journal of the anus, rectum and colon
|October 30, 2023
概括
当在右横结肠中创建循环结肠静脉时,胃 (SP) 的风险更高. 为了防止胃,外科医生应该在左横结肠中构建胃口.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术并发症 手术并发症
- 胃口护理 胃口护理
背景情况:
- 胃 (SP) 是循环结肠术后的常见并发症.
- 脊髓炎可以显著降低患者的生活质量.
- 识别风险因素对于预防SP至关重要.
研究的目的:
- 评估横环结肠切除术后与胃 (SP) 相关的风险因素.
- 为了确定胃的预防策略.
主要方法:
- 84名接受循环横向结肠静脉修复的患者的回顾性研究 (2016年1月 - 2020年12月).
- 使用单变量和多变量逻辑回归评估SP发生率和相关的外科手术周围因素.
主要成果:
- SP发生在13.0%的患者中,中位数在手术后99天开始.
- 单变量分析将右侧静脉位,术后化疗和抗VEGF治疗与增加SP风险联系起来.
- 多变量分析确定了右横结肠静脉结构作为一个独立的风险因素 (OR 5.07).
结论:
- 纵横结肠的右侧是胃的重要危险因素.
- 在左横结肠中构建横环结肠术可能有助于预防胃.
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