在腹腔镜中进行腹腔横侧起体术的技术,用于直肠倒的腹腔镜网状直肠切除
K Kamihata1, A Nomura2, T Okada1
1Department of Surgery, Japanese Red Cross Osaka Hospital, 5-30, Fudegasakicho, Tennouji-Ku, Osaka, 543-8555, Japan.
Techniques in coloproctology
|August 14, 2024
概括
一种用于腹腔镜直肠切除术的新型横腹腔浮口整形技术在治疗直肠倒方面显示出有前途. 这种方法增强了盆底,可能减少复发并改善便失禁的结果.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 骨盆地板手术 骨盆地板手术
背景情况:
- 结直肠脱落涉及结直肠壁内和相关的解剖问题.
- 现有的外科手术技术旨在纠正落和相关缺陷.
研究的目的:
- 引入和评估一种新的腹腔横空置术技术,用于腹腔镜直.
- 为了加强盆底,缩小直肠间隙,重建直肠角.
主要方法:
- 在 laparoscopic rectopexy 期间开发了一种横腹腹部升管整形技术.
- 暴露的升降器肌肉和使用 sutures 关闭升降器扩张.
- 在八名患有直肠的患者中执行了该技术.
主要成果:
- 在平均178天的随访期间没有观察到复发.
- 在7名便失禁患者中,有6名报告症状有所改善.
- 在某些情况下,该技术与其他程序相结合.
结论:
- 跨腹腔起器手术技术显示出减少直肠倒复发的潜力.
- 它可以改善功能结果,特别是在便失禁的患者中.
- 这种技术可以成为一个有价值的手术选择,用于直肠.
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