在胰腺二切除术后,预防延迟胃空化的手术技术
1Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, the First Hospital of Jilin University, Changchun 130021, China.
Hepatobiliary & pancreatic diseases international : HBPD INT
|November 18, 2023
概括
在胰腺二管切除术 (PD) 后,延迟胃空化 (DGE) 仍然是一个重大挑战. 目前的手术修改显示出有希望的结果,但缺乏在预防DGE方面优越的确切证据.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 消化器官手术 消化器官手术
背景情况:
- 延迟胃排空 (DGE) 是胰腺二切除术 (PD) 后的常见并发症.
- DGE导致长时间住院,成本增加,再入院率更高.
- 这意味着胃机动性受损,没有机械阻塞.
研究的目的:
- 审查和分析旨在减少PD后DGE发生率的技术修改.
- 评估各种手术方法在缓解术后DGE的有效性.
主要方法:
- 在PubMed进行了全面的文献搜索,截至2022年12月.
- 关键词包括"胰腺双管切除术"",胃排空"和"术后并发症".
- 英语出版物被优先考虑,并通过手动参考检查来补充.
主要成果:
- 皮洛里切除,比尔罗斯II重建,布劳恩的肠肠静脉切除和前性重建可能会降低DGE的发生率.
- 腹腔镜和机器人方法在DGE预防方面没有显示出优越性.
- 摘机在减少DGE中的作用仍然存在争议.
结论:
- 没有单一的外科手术技术被证明在PD后降低DGE的优势.
- 较大的前性随机研究对于建立明确证据至关重要.
- 需要进一步的研究来优化DGE预防的手术策略.
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