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经典的分裂性sigmoidostomy和循环性sigmoidostomy在阳肠形中:改变的时候了吗?

Carla Ramirez-Amoros¹, Catarina Carvalho², María San Basilio³

¹Department of Paediatric Surgery, La Paz Children's University Hospital, Paseo de la Castellana, 261, 28046, Madrid, Spain. carlaramirezamoros@gmail.com.

Pediatric surgery international

|September 10, 2024

概括

在直肠形 (ARM) 患者中,循环西格莫多斯托米 (LS) 与分割西格莫多斯托米 (DS) 相比,显示出类似的落和尿路感染风险. DS导致更多的伤口并发症,狭窄和脱,导致更长的住院时间.

科学领域:

儿科手术儿科手术
胃肠病学胃肠病学
手术创新在外科创新.

背景情况:

分裂性静脉切口术 (DS) 是用于直肠形 (ARM) 的传统静脉切口术技术.
环形静脉切除术 (LS) 在ARM患者中被认为增加了口腔缩和尿路感染 (UTI) 的风险,尽管证据有限.

研究的目的:

为了比较分裂性西格莫伊多斯托米 (DS) 与循环性西格莫伊多斯托米 (LS) 的结果,在患有直肠形 (ARM) 的患者中.
评估与每种手术技术相关的并发症,口腔功能和住院时间.

主要方法:

在2013年至2023年期间接受DS或LS的ARM患者的回顾性分析.
收集的数据包括人口统计数据,形类型,手术变量,并发症 (脱落,尿道感染,伤口问题),口服,口腔功能和住院.

主要成果:

分析了40名患者 (29名DS,11名LS);人口统计和形类型相似.
分裂性静脉切除术 (DS) 的术后并发症 (48.3%与9.1%) 显著增加,主要是伤口感染,形和狭窄.
循环静脉切除术 (LS) 显示,口服时间和口腔功能更短,住院时间更短 (8 vs 36 天).
在DS和LS组之间,口腔缩和尿路感染的发生率相似.

结论:

在ARM患者中,循环西格莫多斯托米 (LS) 与分割西格莫多斯托米 (DS) 相比,不存在更高的缩或尿路感染风险.
分裂性静脉切除术 (DS) 与较高的伤口并发症发生率有关,包括感染,狭窄和脱,以及更长的住院时间.

关键词:

直肠形直肠形直肠形腹腔镜循环的西格莫伊多斯托米.开放式分裂的西格莫伊多斯托米.

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