相关实验视频

Updated: Jun 7, 2025

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure

Published on: August 14, 2017

部分肝切除术后胃肠功能延迟恢复:单中心横截面研究

Giulia Piazza¹, Ismail Labgaa², Emilie Uldry²

¹Department of Visceral Surgery, Lausanne University Hospital CHUV, University of Lausanne (UNIL), Lausanne, Switzerland, gipiazza13@gmail.com.

Digestive surgery

|November 13, 2024

概括

部分肝切除术 (PH) 后胃肠功能延迟恢复 (DRGF) 影响了16%的患者. 更长的手术持续时间,主要的PH,以及术后的双瘤/胆道泄漏是DRGF和长时间住院的关键预测因素.

科学领域:

肝胆道手术肝胆道手术
胃肠道生理学胃肠道生理学
手术结果研究研究.

背景情况:

部分肝切除术 (PH) 与显著的并发症率 (30-50%) 有关.
胃肠功能延迟恢复 (DRGF) 影响10-20%的PH后患者.
识别DRGF预测因子对于改善PH后患者康复至关重要.

研究的目的:

为了确定PH后DRGF的发病率.
确定与DRGF相关的独立预测因素.
为优化PH患者手术后康复的策略提供信息.

主要方法:

在2010-2019年间,对501名接受PH的成年患者进行了回顾性分析.
DRGF定义为术后鼻胃管 (NGT) 插入的需要.
多变量逻辑回归用于识别独立的DRGF预测器.

主要成果:

DRGF发生在16%的患者中,与更长的住院时间有关.
最少侵入性的方法显示DRGF率显著降低 (4.5%与19.8%相比).
确定了独立的预测因素:较长的手术持续时间,主要的肝切除术和术后的双瘤/胆道泄漏.

结论:

在PH之后,DRGF是一种显著的并发症,影响了16%的患者.
更长的手术持续时间,主要的PH和术后的双瘤/胆道泄漏是DRGF的独立预测因素.
这些发现突出了管理和潜在地预防PH后DRGF的关键因素.

关键词:

晚期恢复胃肠道功能.部分肝切除术部分肝切除术术后并发症术后并发症

更多相关视频

Isolation of Regenerating Hepatocytes after Partial Hepatectomy in Mice

Isolation of Regenerating Hepatocytes after Partial Hepatectomy in Mice

Published on: December 2, 2022

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

相关概念视频

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

Liver Regeneration

Liver Regeneration

The liver is an important organ in vertebrates that plays an essential role in metabolism. It is also responsible for storing and redistributing nutrients such as carbohydrates, fats, and vitamins in the body. Additionally, the liver releases bile salts which are critical for digesting food and eliminating toxic metabolites from the body.
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...