相关实验视频
Updated: Jun 18, 2025

04:14
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
447
在后侧食道重建中手术选择
Lars Kollmann1, Sven Flemming1, Johan Friso Lock1
1Department of General, Visceral, Transplantation, Vascular, and Paediatric Surgery, University Hospital Wuerzburg, Wuerzburg, Germany.
Langenbeck's archives of surgery
|August 3, 2024
概括
在不适合标准胃重建的患者中,使用领瘤进行的逆侧食道重建是可行的. 这些罕见的手术在经验丰富的中心显示了可接受的并发症率和良好的功能结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 当胃部无法使用或正管重建是不切实际的时,可以使用带领瘤的回侧食道重建.
- 本研究分析了这些特定食道重建的技术方法和结果.
研究的目的:
- 分析 retrosternal食道重建的技术方法和结果.
- 评估这些程序的可行性和功能结果.
主要方法:
- 在2019年至2023年期间,对接受了带领瘤的初级或二级后面食道重建的患者进行了回顾性分析.
- 介绍了个别的手术重建选项,包括结肠插入和胃拔起.
主要成果:
- 12名患者 (5名初级,7名二级) 接受了重建,主要是结肠插入 (10名患者).
- 没有观察到管道亡;一个泄漏被内镜成功治疗. 常见的并发症包括肺炎 (33.3%) 和需要排气 (25%).
- 平均逗留时间为22天,没有90天死亡率. 在12个月的随访中,12名患者中有10名患者获得了足够的口服营养.
结论:
- 主要和次要的后侧食道重建是多样化的,需要量身定制的决策.
- 这些罕见的手术在经验丰富的外科医生进行时,可以实现可接受的并发症率和积极的功能结果.
更多相关视频
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
58
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
58
Esophageal Perforation-II: Clinical Manifestations and Management
54
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
54
Peptic Ulcer Disease V: Surgical Management and Nursing Care
264
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
264

