laparoscopic 消化器内造形与内造形支架作为胃出道阻塞的息治疗方法
Avihai Moscovici1, Yehuda Hershkovitz1, Steven Shamah2
1General Surgery Department, Shamir medical center, Zerifin, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
概括
laparoscopic 胃口 (GJ) 是一种安全有效的胃口出口阻塞 (GOO) 息治疗方法,可提供早期的口服恢复. 这种手术方法与内镜支架相比,显示出较低的并发症率.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 胃出口阻塞 (GOO) 是高级上部胃肠道癌症的常见并发症.
- 严重的症状,如恶心和吐显著损害生活质量,并可能导致缓冲症.
- 息干预,无论是手术还是非手术,对于管理GOO症状至关重要.
研究的目的:
- 为了比较腹腔镜消化管 (GJ) 与内镜支架用于GOO的息治疗的疗效和安全性.
- 评估关键结果,包括手术时间,住院时间,口服恢复,存活率和并发症率.
主要方法:
- 一个回顾性图表审查38名GOO患者,他们接受了息手术.
- 第一个组:内镜支架 (n=19).
- 第二组: laparoscopic消化器内科整形 (n=19).
- 人口统计数据,手术时间,住院时间,口服时间,存活率和并发症率的比较.
主要成果:
- laparoscopic GJ 手术时间比内镜支架 (25 分钟,P=.001) 显著长 (83 分钟).
- 在口服开始,整体存活率或30天死亡率方面没有发现显著差异.
- 与手术组 (0%,P=.046) 相比,支架组的并发症率 (26.3%) 较高.
结论:
- 腹腔镜GJ是一种安全和可行的GOO息治疗方法,可促进早期口服摄入.
- 该程序与有利的并发症概况和低的再干预率有关.
- 应考虑 laparoscopic GJ,特别是在预期寿命较长的患者.
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