早期诊断内镜和在机器人跨胸腔食道切除术后的预防性支架 - - 从怀疑到标准化
Álvaro Cerezuela Fernández de Palencia1, David Ruiz de Angulo Martín1, Vicente Munitiz Ruiz1
1Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Spain.
Revista espanola de enfermedades digestivas
|November 7, 2024
概括
在癌症手术后食道脱光是危险的. 在机器人食道切除术中,预防性支架显著减少了住院时间,有望预防并发症并改善患者的治疗结果.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
背景情况:
- 消化管切除术后的食道裂变带来了高死亡率 (10-40%) 和长时间住院治疗.
- 尽量减少手术紧张和缺血是预防的关键,ERAS协议和绿色氨酸有助于评估血管化.
- 尽管取得了进展,但泄漏率仍在10%以上.
研究的目的:
- 评估在接受机器人食道切除术的患者中预防性支架的安全性和有效性.
- 评估预防性支架对并发症率和住院时间的影响.
主要方法:
- 对12名接受机器人食道切除术的患者进行了回顾性分析.
- 接受预防性支架的患者和没有接受支架的患者之间的结局的比较.
- 包括早期内镜和支架作为干预措施.
主要成果:
- 45.4%的患者接受了预防性支架.
- 患有预防性支架的患者平均住院时间为16天.
- 患有失听症的患者平均住院时间明显长,平均为53.5天.
结论:
- 早期内镜和预防性支架在减少机器人食道切除术后的并发症方面是安全有效的.
- 预防性支架可能会显著减少与食道脱相关的长时间住院.
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