连续与中断的动脉切除术技术用于肝动脉切除术:一个前性队列研究
Tek Narayan Yadav1, Narendra Pandit2, Kunal Bikram Deo1
1Department of Surgical, Gastroenterology B. P. Koirala Institute of Health Sciences, Dharan.
Annals of medicine and surgery (2012)
|April 5, 2024
概括
连续合肝结术 (HJ) 是中断合的安全替代方案,可减少操作时间和成本. 这种对HJ技术的比较发现这两种方法的安全性和发病率相似.
科学领域:
- 肝胆外科手术中的外科创新.
- 对解口技巧进行比较分析.
背景情况:
- 肝炎结节切开术 (HJ) 对于生物肠道结节切开术至关重要.
- 间断是目前HJ的黄金标准.
- 这项研究评估了连续与中断接技术对HJ.
研究的目的:
- 为了比较连续和中断 suture hepaticojejunostomy 的安全性和早期并发症.
- 评估HJ连续接技术的可行性和结果.
主要方法:
- 从2019年9月到2021年6月的选修HJ的前性研究.
- 排除标准包括复杂的胆道狭窄和通道直径小于8毫米.
- 患者随机分为中断 (n=18) 和连续 (n=16) 组.
主要成果:
- 两组之间胆汁泄漏率 (8.8%) 没有统计学意义上的差异 (P=1.0).
- 连续HJ显著减少了 suture时间 (16.2分钟与38.6分钟,P<0.001) 和数 (2.3分钟与9.6分钟,P<0.001).
- 重新探索率相似,在连续组中有一例HJ解剖缺陷.
结论:
- 对HJ的连续和中断 suture技术都是安全的,患病率相似.
- 连续接HJ提供了降低静脉移动时间和潜在的成本降低的优势.
- 连续 suture 技术是 HJ 中断 sutures 的可行的替代方案.
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