laparoscopic 腹膜透析导管插入与omentopexy-节省孩子们的奥门
Beytullah Yağız1, Demet Tekcan Karalı2, Hülya Nalçacıoğlu2
1Ondokuz Mayıs University, Samsun, Turkey. beytullahyagiz@gmail.com.
Pediatric surgery international
|May 9, 2024
概括
在儿童腹腔镜腹膜透析导管放置期间的口腔透析是一种可行的技术. 虽然门切除组的导管损失较高,但与手术本身无关,这表明门切除是门切除的可行替代方案.
科学领域:
- 儿科手术 儿科手术
- 腎臟病學 (nephrology) 是一種醫學專業.
- 最少侵入性的手术
背景情况:
- 持续的门诊腹膜透析 (CAPD) 对于儿科替代疗法至关重要.
- 导管阻塞的预兆是一个常见的并发症,导致患病率.
- 脑膜切除术通常是为了防止阻塞而进行的,但是脑膜切除术可以保存脑膜以供将来使用.
研究的目的:
- 介绍 laparoscopic 腹膜透析导管安置在患有并发性 omentopexy 的儿童中的技术.
- 评估腹腔镜门切除术与儿科CAPD导管插入中的门切除术的可行性和结果.
主要方法:
- 对接受腹腔镜腹膜透析导管安置的儿科患者的回顾性评估.
- 与同时接受门切除 (n=12) 和门切除 (n=18) 的患者之间的结局比较.
主要成果:
- 导管损失发生在4名患者 (33%) 在omentopexy组和3名患者 (17%) 在omentectomy组.
- 在任何一组中,都没有将导管损失归因于精神阻塞.
- 在奥门托佩克西组 (50%) 与奥门托切除组 (17%) 相比,先前腹部手术的发生率更高.
结论:
- laparoscopic腹膜透析导管放置与omentopexy是一个可行的和可复制的技术在儿童中.
- 门切除术提供了门切除术的替代方案,为潜在的未来重建性手术保留了门.
- 在奥门托佩克西组中观察到的较高的导管损失可能会被之前腹部手术的更大流行所混.
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