在腹腔镜结直肠手术中的严重并发症中实施基于协议的复发镜检查.
Francesco Puccetti1,2, Alessia Vallorani1, Lorenzo Cinelli1
1Department of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
World journal of surgery
|May 8, 2024
概括
结肠直肠手术后主要并发症的复发光镜是安全有效的,减少住院和并发症. 这种微创手术方法保留了腹腔镜结直肠手术的好处.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 手术并发症 手术并发症
背景情况:
- 腹腔镜结直肠手术越来越多地用于初级切除和重新手术.
- 腹腔镜修复手术缺乏标准化的标准.
- 这项研究解决了腹腔镜结直肠手术后的主要并发症.
研究的目的:
- 分析腹腔镜 (LR) 与腹腔镜结直肠手术后重大并发症的开放性重新手术的结果.
- 为了评估修复性手术中的治疗失败率和术后发病率.
- 评估重症并发症的复发镜的安全性和有效性.
主要方法:
- 连续接受了腹腔镜左侧切除术或前部下部切除术 (2016-2021) 的患者的回顾性分析.
- 需要重新手术 (MCR) 的重大并发症的管理遵循基于血液动力学和污染的跨学科协议.
- laparoscopic 和开放式重新手术之间的治疗失败率 (90天死亡率,进一步手术) 和术后发病率的比较.
主要成果:
- 在1137项手术中,有45名患者 (9.1%) 通过协议管理MCRs.
- 在66.7%的重复手术中,使用了放映镜 (LR).
- 整体治疗失败率为13.3%;复发透镜可最大限度地减少住院时间,术后发病率和护理强度,特别是在静脉漏方面.
结论:
- 结肠直肠手术后主要并发症的复杂透视术保持了微创技术的好处.
- 需要进一步研究影响在修复性手术中应用relaparoscopy的因素.
- 中心体积可能会影响复星镜检查的决定因素和障碍.
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