胆囊造形术对食道切除术后临床结果的影响
Sophie L F Doran1, Maria G Digby1, Sophie V Green1
1Department of Upper Gastrointestinal Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, S5 7AU, UK.
Surgical endoscopy
|October 3, 2024
概括
在食道切除术期间的纤维造形术是安全的,并防止后来的内镜手术. 这种手术减少了手术后胆囊扩张的需要,改善了患者的治疗结果.
科学领域:
- 胃肠道手术 胃肠道手术
- 消化管癌手术 消化管癌手术
- 手术结果研究研究.
背景情况:
- 与食道切除术并发的胆囊造形术的作用尚不清楚.
- 现有的关于胆囊造形术对胃肠切除术后并发症和减肥的影响的文献是不一致的.
- 关于食道切除术后需要进一步的胆道干预的数据有限.
研究的目的:
- 为了比较食道切除术与并发性胆囊造形术之间的临床结果.
- 为了研究手术后胆囊扩张的作用和影响.
- 评估在食道切除过程中胆囊造形术的安全性和实用性.
主要方法:
- 连续一系列的207名接受Ivor Lewis食道切除术的患者进行了分析.
- 收集的数据包括人口统计数据,死亡率,口漏水,呼吸道并发症 (Clavien-Dindo等级≥3),口狭窄以及1年和2年的百分比体重减轻.
- 如果患者在时间点之前出现复发或死亡,则患者被排除在体重分析之外.
主要成果:
- 在115名患者中,与92名患者相比,没有任何并发症.
- 死亡率,静脉漏,呼吸道并发症,狭窄率和体重减轻在各组之间是相似的.
- 然而,在没有胆囊造型手术的患者中,有14.1%的患者需要术后内镜胆囊气球扩张,在这个小组中,体重减轻和呼吸道并发症更高.
结论:
- 与艾弗·易斯食道切除术同时进行的纤维造形术是安全的.
- 纤维造形术有助于防止需要手术后的纤维造形管扩张.
- 这种手术可能有助于减轻与胃肠切除术后的胃肠功能障碍相关的并发症和体重减轻.
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