结肠没有达到! 一个技术说明,有技巧,以避免在张力下结直肠瘤
Mar Dalmau1, Marc Marti-Gallostra1, Gianluca Pellino1
1Colorectal Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona UAB, Barcelona, Spain.
概括
两种结直肠解剖技术,德洛耶尔手术和逆形解剖,有效地管理紧张. 最少的侵入性方法是可行的,但谨慎的患者选择和术后护理对于最佳结果至关重要.
科学领域:
- 结肠直肠外科手术是什么意思
- 手术技术手术技术的使用.
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 在张力下结肠直肠解剖形成并发症的风险.
- 在特定的患者解剖学中,标准技术可能具有挑战性.
研究的目的:
- 描述和评估在紧张的情况下进行结直肠瘤的两个手术选择.
- 为执行德洛耶斯手术和逆叶结肠直肠解剖术提供实用指导.
主要方法:
- 详细描述德洛耶斯手术和逆叶结肠直肠解.
- 患者病例的介绍 (10个德洛耶尔,9个逆转) 以证明可行性.
- 探索最少侵入性的方法和转换率.
主要成果:
- 在所有患者中取得了成功的结直肠解.
- 没有观察到主要的手术内并发症.
- 五名患者出现了需要治疗的术后并发症.
结论:
- 德洛耶尔手术和逆骨解剖都是有效的无张力结直肠解剖.
- 最少的侵入性手术是可能的,但在技术上要求很高.
- 术后发病率需要仔细的术后管理和患者咨询.
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