环结肠切除术的术后并发症,用于新生儿直肠形,与传统腹腔静脉相比:一项非随机研究
Tatsuma Sakaguchi1, Yoshinori Hamada1, Takeshi Shirai1
1Department of Surgery, Kansai Medical University, Osaka, Japan.
World journal of pediatric surgery
|June 20, 2024
概括
环结肠切除术是直肠形 (ARM) 新生儿的安全替代方案,其并发症率与传统腹腔结肠切除术相比较. 这种技术在不损害患者安全的情况下提供了美容效益.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 外科手术的结果
背景情况:
- 之前的试点研究强调了临时环结肠静脉切除术 (US) 对中等类型直肠形 (ARM) 的新生儿的美容优势.
- 本研究将手术后的US并发症与ARM患者的传统腹腔口腔 (AS) 进行比较.
研究的目的:
- 为了评估和比较管口腔 (US) 与传统腹腔口腔 (AS) 的术后并发症率,用于直肠形 (ARM) 的新生儿.
主要方法:
- 在关西医科大学医院 (1995年1月 - 2016年11月) 进行口腔创建的ARM患者的未来数据库分析.
- 美国的手术技术自2004年以来实施.
- 12名US患者和27名AS患者之间的并发症率的比较.
主要成果:
- 在美国 (17%) 和AS (11%) 组之间,术后并发症率没有显著差异 (p=0.6).
- 并发症包括伤口感染 (US),阴茎 (US和AS),粘膜 (AS) 和抑郁症 (AS).
- 由于与静脉口腔相关的并发症,没有必要进行紧急手术.
结论:
- 骨是ARM患者临时环结肠静脉修复的安全替代部位.
- 在ARM治疗中,管口腔提供与腹腔口腔相比的安全性.
更多相关视频
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
5.6K
07:51The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
Published on: November 4, 2010
21.9K
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
139
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
139
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
72
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
72
Ostomy Care
272
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
272
Inflammatory Bowel Disease I: Ulcerative Colitis
161
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
161
Peptic Ulcer Disease V: Surgical Management and Nursing Care
287
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
287
