在内镜逆行胆瘤学术后的早期胆囊切除术是可行的和安全的
Çağrı Büyükkasap1, Deniz Algan2, Nigar Balakji2
1Department of General Surgery, Gazi University Faculty of Medicine, 06500 Ankara, Turkey.
Healthcare (Basel, Switzerland)
|July 26, 2024
概括
进行腹腔镜胆囊切除术 (LC) 在内视逆向胆道细胞切除术 (ERCP) 后72小时内,对于胆结石治疗是安全有效的. 在ERCP后的早期LC不会对患者的结果产生负面影响或增加并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 肝胆道手术 肝胆道手术
背景情况:
- 胆管结石常见的胆病常常需要内镜逆行胆管结核造影 (ERCP) 和腹腔镜胆囊切除术 (LC).
- 在ERCP后LC的最佳时间是正在进行的临床辩论的主题.
研究的目的:
- 为了确定ERCP和LC之间的理想时间间隔,对于患有胆结石和常见胆道结石的患者.
- 为了评估早期与延迟LC对外科手术后期结果的影响.
主要方法:
- 在ERCP后接受LC的197名患者的回顾性分析 (2016年11月 - 2022年8月).
- 患者被分为早期 (72小时内) 和延迟 (72小时后) 的LC组.
- 在不同组之间比较了术后的结果和停留时间.
主要成果:
- 在早期和晚期LC组之间,没有发现术前特征或术后发病率的显著差异 (p=0.286).
- 在ERCP-LC间隔和总停留时间 (r=-0.350,p<0.001) 之间观察到显著的反相关性.
结论:
- 随着内镜逆行胆大脑造影 (ERCP) 后的早期腹腔镜胆切除术 (LC) 是一个安全和可行的选择.
- 在ERCP后72小时内进行LC不会影响术后结果,并可能减少住院时间.
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