单切口腹腔镜手术对马隆的前期大陆瘤:优化儿童肠道管理的结果
Ismael Elhalaby1, Irene Isabel P Lim2, Elizaveta Bokova3
1Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Kansas City, Kansas City, MO, USA; Tanta University Hospital, Faculty of Medicine, Tanta University, Tanta, Egypt.
Journal of pediatric surgery
|December 11, 2024
概括
单切口腹腔镜手术 (SILS) 对于马隆前级失禁阴道 (MACE) 是对儿科便秘和便失禁的安全有效选择. 这种方法提供了良好的化品效果和与传统方法相比的结果.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 结肠直肠手术 结肠直肠手术
背景情况:
- 马隆前级失禁清洁剂 (MACE) 越来越多地用于严重的儿科便秘和便失禁.
- 单切口腹腔镜外科手术 (SILS) 对于MACE的创建是相对未经探索的,尽管在最小入侵技术的进步.
研究的目的:
- 评估SILS MACE在儿童中的可行性,安全性和临床结果.
- 评估SILS MACE在治疗严重便秘和便失禁方面的疗效.
主要方法:
- 18名接受SILS MACE创建的儿科患者的回顾性审查.
- 收集的数据包括患者人口统计,手术细节,术后并发症和便模式.
- 描述性统计方法用于定量变量分析.
主要成果:
- 该研究包括18名患者 (56%是男性),平均年龄为10岁.
- 常见的手术前诊断是直肠形 (50%) 和功能性便秘 (22%).
- 89%的患者在13个月的中位随访期内取得了成功的便管理,但有轻微的并发症,如道脱落和伤口感染.
结论:
- SILS MACE创建是一种安全,可行和有效的最小侵入性技术,用于儿科严重便秘和便失禁.
- SILS方法提供了潜在的美容益处和与多端口腹腔镜方法相比较的外科结果.
- 对于儿童来说,SILS MACE 是一种可行的替代方案,用于处理复杂的肠道问题.
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