在 laparoscopic Swenson pull-through 之后的术后直肠灌:早期的仪器仪表是否安全?
Nikhil R Shah1, Kathryn M Maselli1, Gabriella Kim2
1Pediatric Surgery, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA.
World journal of pediatric surgery
|December 2, 2024
概括
在腹腔镜Swenson内肠直肠拉透后早期的直肠灌对于希尔施普隆病是安全的,对于阻塞性症状是必要的. 这种常见的干预措施并没有增加儿科患者的静脉漏率.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 腹腔镜斯文森内肠直肠拉透 (Lap-S-ERPT) 对于希尔施普隆病 (HSCR) 可能会导致早期阻塞症状,由于剖析较少.
- 直肠仪器仪表是Lap-S-ERPT后的低门缩症的一个问题.
- 目前的管理依赖于抗生素和直肠灌.
研究的目的:
- 评估Lap-S-ERPT在儿科HSCR患者中早期直肠灌的发生率和安全性.
- 为了评估直肠灌对道泄漏率的影响.
主要方法:
- 对37名为HSCR接受Lap-S-ERPT的儿科患者的单中心回顾性审查 (2018年1月-2023年10月).
- 对于阻塞性症状 (,,大肠扩张) 进行了直肠灌.
- 主要结局:需要术后直肠灌;次要结局:时机,持续时间和道泄漏的发生率.
主要成果:
- 37名患者中有11名患者 (29.7%) 接受了直肠灌,该灌开始于手术后平均46小时.
- 灌持续时间平均为3天.
- 在灌和非灌组之间,无显著差异 (9.1%与7.7%,p=0.887).
结论:
- 近30%的儿科患者需要Lap-S-ERPT后的早期直肠灌,以治疗阻塞症状.
- 结直肠灌可以安全地进行,而不会增加道漏率,尽管人们对低道漏的担忧.
关键词:
结肠直肠手术 结肠直肠手术相关概念视频
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