"倾斜法"与传统法相比,在腹腔镜前直肠切除中使用保护环结节切除术,通过口腔切口提取样本:一项回顾性比较队列研究
Jiani Gu1, Jin Wang, Xingwang Hu
1Department of Colorectal and Anal Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
International journal of surgery (London, England)
|March 14, 2024
概括
与传统的方法 (TSM) 相比,新型的形 suture方法 (DSM) 在腹腔镜前直肠切除中与转向环结节切除术相比,显著减少了静脉并发症. 这种技术通过尽量减少周周皮肤问题和提高生活质量来改善患者的结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 手术瘤学手术瘤学
背景情况:
- 腹腔镜前直肠切除 (LAR) 与转向环结节切除 (DLI) 具有高风险的静脉.
- 通过口腔切口 (EXSI) 提取样本可以减少腹部创伤,但可以扩大口腔部位.
- 传统的法 (TSM) 用于扩大的口腔切口风险周并发症.
研究的目的:
- 在LAR-DLI中使用EXSI进行扩大口腔切口的新型形 suture方法 (DSM) 的引入和评估.
- 为了比较DSM与TSM在减少胃并发症和改善患者结局方面的疗效.
主要方法:
- 对71名接受LAR-DLI与EXSI的患者进行了回顾性分析.
- 患者被分为两个组:DSM和TSM.
- 在手术期间的细节和手术后的结果被测量和组之间的比较.
主要成果:
- 与TSM组相比,DSM组的胃并发症率明显较低 (10.3%与35.7%,P=0.016).
- 在DSM组的患者报告变色,侵蚀,组织过度生长 (DET),胃痛和改善生活质量的得分明显较低.
- 多变量分析确定了DSM作为一种独立的保护因子,用于门相关的并发症.
结论:
- 子法 (DSM) 是一种安全有效的技术,用于减少扩大的口腔口腔切口大小.
- DSM显著降低了周周肠皮肤感染和胃部并发症的发生率.
- 这种新的接方法提高了术后恢复,并减少了EXSI的LAR-DLI后的并发症.
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