在摄入磁铁的管理中使用单切片腹腔镜
Sara Ardila1, Lucille Woodley1, Emily Ulloa1
1Department of Surgery, Arnold Palmer Hospital for Children, Orlando, Florida, USA.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|November 28, 2023
概括
单切口腹腔镜手术 (SILS) 有效地管理儿科磁铁摄入. 这种最少的侵入性方法为儿童提供了诸如减少疼痛和更短的住院时间等好处,这些儿童需要因摄入磁铁而进行手术.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 胃肠病学 胃肠病学
背景情况:
- 摄入磁体对儿童构成重大风险,2016年取消禁令,增加了病例.
- 儿童胃肠病学家和外科医生经常管理外体摄入,特别是磁铁.
- 复杂的磁体摄入有时需要手术干预.
研究的目的:
- 评估单切口腹腔镜手术 (SILS) 的有效性和安全性,用于管理儿科患者摄入的磁铁.
- 将SILS结果与传统的开放式或多端口腹腔镜方法进行比较.
- 评估SILS对患者康复指标的影响,例如手术时间,食和住院时间.
主要方法:
- 一个回顾性回顾的儿科患者 (≤21岁) 治疗外体摄入超过4.5年在一个中心.
- 使用国际疾病分类,第10次修订代码,识别磁铁摄入患者.
- 对手术干预的分析,重点是用SILS管理的病例,包括手术细节和患者的结果.
主要成果:
- 九名儿科患者需要进行手术以吸收磁铁;七名患者接受了SILS治疗.
- 三个SILS病例在没有转换为开放手术的情况下完成,其中一个涉及肠切除和解剖.
- 对于SILS病例,平均手术时间为109分钟,进入肠道食的时间为23小时,住院时间为3.8天,30天再入院率为14.3%.
结论:
- 单切口腹腔镜手术 (SILS) 是儿童磁力检索的安全和可行的选择.
- SILS有助于识别受影响的肠段,并允许进行体外干预.
- SILS的潜在好处包括减少疼痛,更快地恢复食,以及儿童患者在医院停留的时间更短.
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