在儿童中进行结肠直肠机器人辅助手术. 长期的结果和陷
Carlos Delgado-Miguel1,2, Laura Reparaz1, Wright Clarkson1
1Department of Pediatric Surgery, Prisma Health Children's Hospital, Columbia, South Carolina, USA.
概括
在儿童中,微创性结肠直肠机器人手术显示出有前途的结果,并发症率低,各种手术的长期结果良好,如Hirschsprung.
科学领域:
- 儿科外科手术 儿科外科手术
- 微创手术是最少的侵入性手术.
- 机器人手术是一种机器人手术.
背景情况:
- 儿童的结肠直肠手术可以从最少的侵入性技术中受益.
- 关于儿科微创性结直肠外科手术的研究有限.
研究的目的:
- 评估小儿科患者大肠直肠机器人辅助手术的安全性和有效性.
- 评估这些程序的短期和长期结果.
主要方法:
- 回顾性,单中心的观察性研究.
- 包括从2011年至2022年接受大肠直肠机器人辅助手术的儿科患者.
- 分析了手术时间,住院时间,并发症和长期随访.
主要成果:
- 包括50名患者,平均年龄为4.8岁;赫施普朗格病是主要症状 (21例).
- 没有报告的手术内并发症或转换;中位数的手术时间为183分钟.
- 发生了4次术后并发症 (2克拉维恩-丁多IIIb);8%需要长期重新干预.
结论:
- 结肠直肠机器人辅助手术在儿科患者中是可行的.
- 这些程序显示出低的并发症率和令人满意的长期结果.
- 机器人方法为儿科结直肠疾病提供了一种可行的最小侵入性选择.
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