在儿童中创新的微创性胃拉动技术:SILS和机器人辅助的胃拉动
Zafer Dokumcu1, Ulgen Celtik2, Samir Hasan2
1Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Bornova/Izmir, Turkey. zdokumcu@gmail.com.
Pediatric surgery international
|November 25, 2024
概括
单切口腹腔镜胃拉伸 (SILS-GPU) 和机器人辅助胃拉伸 (R-GPU) 对儿科患者来说是安全有效的. 这些微创手术在复杂的食道重建中有望改善结果.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
背景情况:
- 在儿科患者中食道重建是复杂的.
- 传统的开放技术具有显著的发病率.
- 微创手术的进步提供了潜在的好处.
研究的目的:
- 评估单切口腹腔镜胃拉伸 (SILS-GPU) 的安全性和有效性.
- 评估机器人辅助胃拉伸 (R-GPU) 的可行性和结果.
- 在需要胃拉动的儿科患者中比较SILS-GPU和R-GPU.
主要方法:
- 对接受SILS-GPU或R-GPU的儿科患者的医院记录的回顾性审查 (2016年5月 - 2024年1月).
- 对患者人口统计,诊断,手术技术和术后结果的分析.
- 基于病理学和解剖学因素的导管路线选择的评估.
主要成果:
- 包括12名儿科患者:7名SILS-GPU,5名R-GPU.
- 常见的适应症:持续的腐蚀性食道收缩 (PCES) 和长间隙食道缩 (LGEA).
- 没有死亡率或手术后并发症;手术后口服养成功率高.
结论:
- SILS-GPU和R-GPU在儿科胃拉动中是安全有效的.
- 最少侵入性的方法在儿童中显示出较低的并发症率.
- 这些技术为复杂的食道重建提供了可行的替代方案.
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