对混合经和门腹腔镜拉透与完全经腹腔镜辅助拉透的比较分析,用于常见类型的赫施普朗格病
Guizhen Huang1, Chi Sun2, Chaosheng He1
1Department of Pediatric Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361000, Fujian, China.
Surgical endoscopy
|October 6, 2024
概括
希尔施普朗格的混合穿和门腹腔镜拉透 (HTALP) 手术.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 手术方面的创新.
背景情况:
- 赫施普朗氏病 (Hirschsprung's disease,简称HD) 是一种影响大肠的先天性疾病.
- 需要进行外科手术来切除受影响的角结节性肠段.
- 至少侵入性技术越来越多地被喜欢用于HD治疗.
研究的目的:
- 为了比较混合的跨和门腹腔镜拉透 (HTALP) 与完全透过门腹腔镜辅助拉透 (TTLAP) 的疗效.
- 为了评估与HTALP或TTLAP治疗的常见型HD儿童的手术结果和功能恢复.
主要方法:
- 对患有常见型HD的儿童的临床数据的回顾性分析.
- 患者在2010年至2020年期间接受HTALP或TTLAP.
- 比较包括手术时间,康复间隔,肠道控制和直肠计量.
主要成果:
- 与TTLAP (21例) 相比,HTALP组 (53例) 的手术时间显著缩短 (99.1分钟对137.6分钟),血液流失少 (16.7毫升对25.2毫升),肠道恢复更快 (1.5天对3.3天).
- 手术后住院时间对于HTALP患者也显著缩短 (5.3天 vs 7.5天).
- 在术后3个月,HTALP导致静止门压力降低,门高压区长度缩短.
结论:
- 在HD治疗中,HTALP表现出良好的外科治疗结果,并发症率低.
- 这种技术是安全的,可靠的,减少了手术时间和血液流失,并最大限度地减少了关节肌肉的损伤.
- 与TTLAP相比,HTALP促进了患者更快的康复.
更多相关视频
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
5.6K
09:00Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
2.0K
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
128
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
128
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
57
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
57
