在减肥手术中,刺的次要小肠阻塞:一个警告故事
Walter Santucci1, Audrey Choy1, Qiuye Cheng1
1Department of Hepatobiliary and Upper Gastrointestinal Surgery, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
ANZ journal of surgery
|February 26, 2024
概括
在腹腔镜减肥手术中使用的刺针 (V-LocTM) 由于粘附而导致小肠阻塞 (SBO). 仔细管理尾是防止这种并发症至关重要的.
科学领域:
- 最少侵入性的手术
- 手术并发症 手术并发症
- 胃肠道手术 胃肠道手术
背景情况:
- 腹腔镜减肥手术需要复杂的体内 suturing.
- 刺 sutures 提供了传统接的替代方案,可能消除结的绑定.
- 然而,刺可能会粘附于周围组织,导致并发症.
研究的目的:
- 报告一系列由V-LocTM刺造成的小肠阻塞 (SBO) 的病例.
- 为了提高人们对腹腔镜减肥手术后这种不寻常的并发症的认识.
- 建议对与V-LocTM接相关的SBO采取预防措施.
主要方法:
- 对被诊断患有V-LocTM相关SBO的患者 (2018-2021) 病历的回顾性审查.
- 收集的数据包括患者表现,诊断,管理策略和结果.
- 专注于在SBO中涉及V-LocTM接的情况.
主要成果:
- 三名患者出现了早期的术后SBO,这是由于V-LocTM sutures.
- SBO是由于小肠粘附于刺刺尾部或无意粘附造成的.
- 所有患者都经历了通过再看 laparoscopy 进行粘结溶解以解决问题,并顺利出院.
结论:
- 暴露或过长的V-LocTM尾可能会导致腹腔镜减肥手术后的SBO.
- 接管理,包括密切切割和覆盖暴露的末端,可以防止这种并发症.
- 意识和技术修改是避免与V-LocTM相关的SBO的关键.
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