腹腔镜辅助的长期结果与完整的透过内直肠拉透技术对于经典细分的希尔施普朗格病的长期结果
Ho Tran Ban1,2, Vuong Minh Chieu3, Quynh Thi Vu Huynh4
1Department of Pediatric Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam. hotranban@ump.edu.vn.
Pediatric surgery international
|December 12, 2024
概括
透过内直肠拔 (TERPT) 和腹腔镜辅助内直肠拔 (LERPT) 对希尔施普朗格病有效. 长期结果,包括并发症和便模式,显示这些手术技术之间没有显著差异.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
- 手术结果研究研究.
背景情况:
- 经典的赫斯普朗格病需要手术干预.
- 透过门的肠直肠拉透 (TERPT) 是一种标准的手术方法.
- laparoscopic-assisted endorectal pull-through (LERPT) 可能可以提供更强的疗效.
研究的目的:
- 为了比较TERPT和LERPT的长期结果.
- 为了评估两种手术技术在希尔施普朗格病的疗效.
主要方法:
- 采用了纵向研究设计.
- 分析了2015-2019年间154名接受拉透手术 (113名TERPT,41名LERPT) 的患者的数据.
主要成果:
- 与LERPT (144.6分钟) 相比,TERPT的中位操作时间 (109.5分钟) 显著缩短.
- 在TERPT和LERPT之间的长期并发症率中没有发现显著差异.
- 长期来看,两个手术组之间的便模式没有显著差异.
结论:
- TERPT和LERPT都是针对经典细分赫施普朗格病的有效手术治疗方法.
- 在TERPT和LERPT之间做出选择不会显著影响患者的长期结果.
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