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对于肠道重复的内核切除:与肠道切除和解肠切除进行的比较研究

Ulysse Laplanche¹, Louise Montalva^2,3, Pichvichit Dara¹

¹Department of Pediatric Visceral and Neonatal Surgery, Armand Trousseau University Hospital, Assistance Publique-Hôpitaux de Paris, Paris Sorbonne University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.

Pediatric surgery international

|July 2, 2024

概括

复制核化 (DE) 提供了较短的住院时间和更快的营养后手术相比,肠切除与初级解剖 (IRA) 肠复制. 这种方法在治疗这些先天性异常方面似乎是可行的和安全的.

科学领域:

儿科手术儿科手术
胃肠道手术胃肠道手术
遗传异常是一种先天性异常.

背景情况:

肠道重复是罕见的先天性形.
复制核切除 (DE) 是一种替代性手术技术,可以与初级解肠切除 (IRA) 进行肠切除.
关于DE与IRA疗法的疗效和结果的比较数据有限.

研究的目的:

为了比较重复核化 (DE) 和肠切除与初级解肠切除 (IRA) 的手术结果,用于治疗儿童的肠重复.
评估DE作为治疗肠道重复的可行性和安全性.

主要方法:

一项回顾性研究包括了51名儿童,他们在2005年至2023年期间接受了肠道重复治疗.
接受DE的患者与接受IRA的患者进行了比较.
分析的结果包括第一次养的时间,停留时间和术后并发症.

主要成果:

在27名患者中进行了DE (53%),在24名患者中进行了IRA (47%).
与IRA相比,接受DE的患者的第一次养时间 (1天而不是3天) 和停留时间 (4天而不是6天) 显著缩短.
组织学分析证实68%的肠切除标本中有肌肉层,这表明DE的适用性.

结论:

复制核切除与手术后停留时间的缩短和早期开始食相比,与用解肠切除相比,重复核切除与手术后停留时间的缩短和早期开始食有关.
对于肠道重复,DE似乎是一个可行的和安全的手术选择,而不会增加术后并发症.
进一步的研究可能会阐明长期结果和最佳的患者选择DE.

关键词:

腹部外科手术腹部外科手术肠道内核切除是指肠道内核切除.肠道形是因为肠道形.腹腔镜检查 (Laparoscopy) 是一个非常好的方法.

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