[在腹腔镜胆囊切除术后与腹内结石相关的并发症的最小侵入性干预]
K V Staleva1, S V Novikov1, P A Yartsev1
1Sklifosovsky Research Institute for Emergency Care, Moscow, Russia.
Khirurgiia
|May 24, 2024
概括
在5名患者的腹腔镜胆囊切除术后,微创手术有效地去除了腹内结石. 这种方法可以减少外科创伤,并加速胆囊切除术后并发症患者的康复.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗器械技术 医疗器械技术
背景情况:
- 腹腔内结石可以在腹腔镜胆囊切除术后形成,导致诸如等并发症.
- 这些结石的管理是一个临床挑战,需要有效的治疗策略.
研究的目的:
- 评估最小入侵技术的可行性和结果,以去除腹腔内结石后的拉皮镜胆囊切除术.
- 评估这些干预措施的安全性和有效性,在出现症状结石的患者.
主要方法:
- 一个回顾5名患者的病例系列,在腹腔镜胆囊切除术后患有腹和感染.
- 治疗涉及最少的侵入性手术,包括通过皮肤排水以内镜去除结石和透光结石提取.
主要成果:
- 所有5名患者都成功接受了针对腹内结石的微创治疗.
- 四名患者 (80%) 通过皮通排水和内镜辅助去除了结石;一名患者进行了透光切除.
- 胆囊切除术后出现并发症的时间各不相同,平均为44个月 (范围为44-72个月).
结论:
- 在腹腔镜胆囊切除术后,最小侵入性干预措施对治疗症状性腹内结石是有效的.
- 这些方法可以减少外科手术的攻击性,并促进更快的患者康复.
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