在食道切除术或胃切除术后的介绍和管理 椎间盘 Hernia
Junsheng Li1, Yong Wang2, Xiangyu Shao3
1Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009, China. Lijunshenghd@126.com.
概括
胃食道后椎是一个罕见的疾病,通常需要紧急修复. 在这项研究中,具有或没有生物网的初级 suture修复证明了耐用性.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部外科手术 腹部外科手术
背景情况:
- 胃食道后椎是经过食道切除或胃切除术后的一种罕见并发症.
- 这种情况经常表现为紧急情况,在管理方面带来了重大挑战.
- 最佳的治疗策略仍未确定,强调需要进一步研究.
研究的目的:
- 分析患者的特征和手术结果的后食道胃椎间.
- 评估不同的修复方法及其在治疗这种罕见疾病方面的有效性.
主要方法:
- 五年来连续接受治疗的患者的回顾性评估.
- 收集和分析患者的人口统计数据,术后数据和手术结果.
- 评估修复技术,包括腹腔镜修复,初级和生物网.
主要成果:
- 鉴定了8名患有食管-胃后缺口的患者,所有患者都呈现出出现的肠道阻塞.
- 腹腔镜修复的转化率为50%的开放手术.
- 主要修复,有或没有生物网,在2-55个月的中位随访期间没有出现复发.
结论:
- 胃食道后椎是一个罕见的,与高发病率相关的突发性疾病.
- 对于有症状的患者,尤其是急性肠道阻塞患者,注明进行手术修复.
- 主要修复,可能加上生物网,提供了一个持久的解决方案.
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