穿皮内镜和图像引导的丢弃胆结石的检索 - 一个案例系列
Ali Husnain1, Allison Reiland1, Albert A Nemcek1
1Department of Radiology, Section of Interventional Radiology.
概括
脱落的胆结石 (DGs) 可以导致腹腔镜胆囊切除术 (LC) 后的复发. 一种微创性内镜技术可以安全地检索DG,为管理这些并发症提供了开放性手术的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 干预性放射学 干预性放射学
背景情况:
- 脱落的胆结石 (DGs) 是腹腔镜胆囊切除术 (LC) 的已知并发症.
- 这些保留的石头可以导致反复的腹内,增加患者的发病率.
- 早期识别和有效管理对于改善结果至关重要.
研究的目的:
- 评估一种微创,图像引导的内镜技术的安全性和有效性,用于检索掉落的胆结石.
- 评估该技术对复发和相关发病率的影响.
主要方法:
- 分析了6名患者的病例系列,这些患者患有复发性或慢性腹腔内,这是由于胆结石下降的次要原因.
- 采用微创内镜和图像引导技术用于胆结石检索.
- 技术上的成功被定义为对所有掉落的胆结石的完全可视化和检索.
主要成果:
- 在6名患者中有4名 (66%) 取得了技术上的成功.
- 手术的中位时间为65.8分钟,光镜的中位时间为12.6分钟.
- 在193天的中位数随访期间,在成功的病例中没有出现手术内或手术后的并发症,也没有观察到的复发.
结论:
- 穿皮影像和内镜导向的石/石切除术是一种安全有效的治疗脱落的胆结石.
- 这种微创手术方法是开放式手术的合适替代方案,用于治疗脱落胆结石并发症.
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