laparoscopic袖子胃切除术后的腹腔排水:它们应该被使用吗?
Lucía Aragone1, Francisco Thibaud1, Mariana Tóffolo1
1Department of General Surgery, Buenos Aires British Hospital, Buenos Aires, Argentina.
Journal of metabolic and bariatric surgery
|July 8, 2024
概括
在腹腔镜袖胃切除术 (LSG) 中,系统地使用排水器对诊断或治疗泄漏或出血没有明显的益处. 然而,排水与排水相关的手术部位感染 (DRSSI) 的显著率有关.
科学领域:
- 腹部外科 腹部外科
- 手术并发症 手术并发症
- 医疗设备的有效性 医疗设备的有效性
背景情况:
- 腹腔镜袖胃切除术 (LSG) 是一种流行的减肥手术.
- 布莱克式排水管通常用于LSG后.
- 支持用于诊断或治疗胃线泄漏 (GSLL) 或术后出血 (PB) 的排水功效的证据有限.
研究的目的:
- 评估排水管在LSG后的GSLL和PB管理中的诊断和治疗作用.
- 在LSG后确定与排水相关的手术部位感染 (DRSSI) 的发生率.
主要方法:
- 追溯性描述性研究与前性病例登记.
- 分析了2012年1月至2022年12月期间执行的335个LSG程序.
- 对GSLL/PB的排水功能的评估和DRSSI速率的评估.
主要成果:
- 记录了6例GSLL (1.79%) 和5例PB (1.49%) 的病例.
- 排水位置没有促进早期诊断或GSLL或PB的保守管理.
- 观察到总体DRSSI率为4.1% (14名患者).
结论:
- 在LSG中系统地使用排水,对于GSLL或PB缺乏明确的诊断或治疗益处.
- 排水使用与相当大的DRSSI率有关,需要仔细考虑.
- 目前的回顾性数据不支持在LSG程序中常规使用排水道.
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