相关实验视频

Updated: Jul 5, 2025

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

困难胆囊的救助手术:手术方法和结果

Jennifer Ledezma Dominguez¹, Noor Tariq², Russell Seth Martins³

¹Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM, USA.

The American surgeon

|January 23, 2024

概括

部分胆囊切除术是困难病例的安全替代方案,减少了胆道损伤的风险. 方法 (透镜或开放) 取决于外科医生的专业知识.

科学领域:

胃肠道手术胃肠道手术
手术瘤学手术瘤学
最少侵入性的手术

背景情况:

急性胆囊炎可能会使胆囊切除术复杂化,需要像小胆囊切除术这样的救助程序,以防止胆道损伤和出血.
在标准胆囊切除过程中解剖变得具有挑战性时,采用了包括腹腔镜或开放式亚总胆囊切除在内的救助程序.

研究的目的:

描述胆囊切除术期间救助程序的发生率,风险因素,安全性,发病率和结果.
在复杂的病例中,评估分总胆囊切除术作为总胆囊切除术的替代方案的有效性.

主要方法:

在一个学术中心 (2015年1月 - 2020年12月) 进行了1892次胆囊切除术和147次救助手术的回顾性审查.
数据包括患者人口统计,并发症,症状持续时间,手术发现,手术时间和结果.
分析对不同救助方案的结果进行了比较,包括开放转换和分总胆囊切除术.

主要成果:

进行了147次救助手术,其中63.4%转换为开放手术;66%完成了完整的胆囊切除术.
常见的并发病包括高血压和糖尿病; 难以解剖和粘附是救助的主要原因.
发生了两个胆道损伤 (两者都是在开放的全胆囊切除术中),胆汁泄漏发生在23.8% (主要在亚总组中). 在救助类型中,没有观察到住院,感染或死亡率的显著差异.

结论:

部分胆囊切除术是挑战胆囊切除术的安全替代方案,最大限度地降低了周围结构受伤的风险.
laparoscopic 或开放的亚总胆囊切除术之间的选择取决于外科医生的专业知识和患者因素.

关键词:

胆道外科手术胆道外科手术胆固醇切除术 (cholecystectomy) 是一种切除术.胆囊炎是一种胆囊炎.胆囊胆囊胆囊胆囊 laparoscopic 腹腔镜检查腹腔镜检查腹腔镜检查腹腔镜检查

更多相关视频

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

相关概念视频

Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...