管状膀作为成年人的大陆导管通道
Pepijn D Polm1, Michel I A Wyndaele1, Pieter Dik1
1UMC Utrecht, Department of Urology, Utrecht, The Netherlands.
Urology
|March 12, 2024
概括
管状膀片 (TBF) 为成年人创建大陆导管通道 (CCC) 提供了一种不那么侵入性的手术选择. 这种技术避免了肠道并发症,并且显示了与其他方法相比可比的修订率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技巧 手术技巧
背景情况:
- 大陆导尿管道 (CCC) 对于管理尿失禁至关重要.
- 传统技术可能涉及显著的肠道操纵和相关的并发症.
研究的目的:
- 描述和评估一种改进的,少入侵的手术技术,用于在成年人中创建CCC:管状膀片 (TBF).
主要方法:
- 在2019年至2023年期间,对接受TBF CCC创建的成年患者进行回顾性审查.
- 对人口统计,操作结果和短期/长期并发症的分析.
主要成果:
- 包括11名成年患者 (10名女性).
- 平均手术时间为96分钟,血液损失最小 (<100厘米).
- 55%的人在30天内经历了1级Clavien Dindo并发症;没有发生肠道并发症. 狭窄 (18%) 和胃泄漏 (27%) 的修订率被注意到.
结论:
- 创建TBF CCC可以避免腹腔内手术和肠道并发症.
- 修订率似乎与其他CCC技术相比较.
- 肺结核瘤是一种可行的,不那么侵入性的选择,可以在有充足膀容量的患者中产生CCC.
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