laparoscopic cecostomy placement for antegrade enema access 在儿科患者群体中用于进行腹腔镜切割术的放置,以获得前级阴囊的机会
Wendy Jo Svetanoff1, Shruthi Srinivas2, Kristine Griffin1
1Department of Colorectal and Pelvic Reconstructive Surgery, Nationwide Children's Hospital, Columbus, OH 43205, USA.
Journal of pediatric surgery
|November 16, 2024
概括
laparoscopic cecostomy 管的放置提供了一个安全的替代方案,用于前级失禁阴囊 (ACE) 的访问,特别是当附录是不合适的. 这种微创手术在儿科患者中显示出良好的短期和长期结果.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 胃肠病学 胃肠病学
背景情况:
- 在管理便失禁时,前级失禁透水 (ACE) 是至关重要的.
- 附录并不总是适合创建ACE.
- 切斯托米管安置的替代方法包括穿皮,内镜和外科手术方法.
研究的目的:
- 描述一个腹腔镜切割术技术.
- 审查儿童腹腔镜切割术安置的短期和长期结果.
- 评估这种微创方法的安全性和有效性.
主要方法:
- 从2016年6月到2023年6月进行腹腔镜切割术的40名儿科患者的回顾性审查.
- laparoscopic cecostomy 涉及将眼与腹壁连接起来,用跨面 sutures 并放置一个静脉静脉切割按.
- 分析的数据包括人口统计,手术内和术后的变量.
主要成果:
- 隔离式切割术的中位数手术时间为1.12小时;中位数术后停留时间为2.0天.
- 在39名患者中,没有发现30天的并发症,例如手术部位感染或管道切除.
- 在一年的随访中,30.6%的患者出现了颗粒组织,30.6%的患者出现了表面泄漏,6%的患者过渡到口服药.
结论:
- laparoscopic cecostomy 管放置是一种安全有效的替代方法,可以建立 ACE 接入.
- 该技术可以与其他外科手术同时进行.
- 这种方法为患者提供了一个可行的选择,需要为便管理进行便手术.
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