胰腺切除术后的A型胰腺支架:它总是必要的吗?
Dimitrios Symeonidis1, Dimitris Zacharoulis1, Georgios Tzovaras1
1Department of Surgery, University Hospital of Larissa, Larissa 41110, Greece.
World journal of methodology
|September 23, 2024
概括
胰腺管支架可能会减少胰腺管切除术 (PD) 后的术后胰腺囊 (POPF). 外部支架显示出更好的POPF减少,但增加了发病率;内部支架的侵入性较小,结果可接受.
科学领域:
- 胃肠道学和外科瘤学
背景情况:
- 手术后的胰腺 (POPF) 是胰腺双管切除术 (PD) 的一个主要并发症.
- 尽量减少POPF发生率对于患者的治疗结果至关重要.
研究的目的:
- 审查目前关于胰腺管支架在预防PD后POPF中的作用的数据.
- 为了比较内部与外部胰腺支架的疗效和安全性.
主要方法:
- 使用PubMed和参考引用分析进行的研究的系统审查.
- 对POPF发病率,发病率和支架类型 (内部与外部) 的数据分析.
主要成果:
- 与内部支架相比,外部支架在减少POPF发病率方面通常表现出优越性.
- 内部支架提供了可接受的POPF率的不太侵入性方法,并避免了胰腺汁转移并发症.
- 外部支架的使用与增加的发病率有关,主要是由于支架的去除.
结论:
- 关于用于预防POPF的胰腺管支架的高质量数据有限.
- 考虑为高风险患者保留支架.
- 根据患者特定的因素和风险概况,个性化支架选择 (内部或外部).
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