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在 laparoscopic 腹膜骨切除中进行腹膜外结肠造形的修改方法

Xiang Zhang¹, Xin Li², Zhiqiang Cheng¹

¹Department of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.

Diseases of the colon and rectum

|November 14, 2023

概括

一种经过修改的额外皮质肠静脉切除方法有效地防止了腹膜切除后的半腹膜. 这种技术是安全的,简单的,并且可以在时间上与传统的膜穿刺方法相比较.

科学领域:

结肠直肠手术结肠直肠手术
手术瘤学手术瘤学
Hernia 修复椎间板裂的修复

背景情况:

腹膜是腹膜切除后的一个常见并发症.
传统的额外皮质结肠直肠术是有效的,但在技术上要求很高.
为了更轻松的创作,通过弧形线开发了一种经过修改的额外腹膜接近方法.

研究的目的:

为了比较修改后的额外皮质结肠静脉切除术的安全性,困难性和长期疗效,与用于预防半皮质的常规跨皮质切除术方法进行比较.
评估两种技术之间的半体和其他并发症的发生率.

主要方法:

从一个机构的手术和视频数据库的回顾性审查.
分析了从74名经历了腹腔镜腹腔骨切除术的患者的临床数据.
基线特征的比较,结肠静脉形成时间和短期/长期并发症.

主要成果:

两种方法之间在基线特征或结肠静脉形成所需时间上没有显著差异.
与外方法相比,半体的累积发病率显著降低 (0%) 外方法 (16.2%在2年,21.6%在3年).
在其他外科手术前或长期结肠直肠术相关并发症中没有显著差异.

结论:

修改后的额外腹膜结肠静脉切除术是一种安全,简单和有效的技术,用于预防BMI为19.5-29.4.4的患者的半腹膜.
这种方法提供了一个可行的替代方案,以减少长期的半体率.
限制包括回顾性设计和小样本大小.

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