使用右结肠插入在有腐蚀性摄入的患者中,引入一种新的外科手术技术用于胃切除术后的重建:一个案例系列
Reyhaneh Naseri1,2, Mojtaba Shafiekhani3,4, MohammadSadegh Rajabian5
1Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Journal of medical case reports
|December 22, 2024
概括
右结肠与门的插入提供了一种有前途的技术,用于腐蚀性损伤后的胃重建. 这种方法有助于改善饮食能力和预防反流,证明了患者的良好结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术重建手术重建的方法
- 创伤外科 手术 创伤外科
背景情况:
- 摄入腐蚀性物质可以导致严重的上部胃肠道损伤,并可能致命.
- 目前用于胃食道重建的手术程序存在局限性,特别是那些使用右结肠与大肠保护的手术程序.
- 缺乏对右结肠插入胃重建的受控人体研究.
研究的目的:
- 报告与右结肠插入的经验,用于胃重建在管理腐蚀性损伤.
- 评估这种技术对患者治疗结果的影响.
主要方法:
- 五名伊朗患者的病例系列,在腐蚀性摄入后进行右结肠插入,以进行食道和胃的重建.
- 评估手术时间,住院时间和并发症.
- 患者的年龄从32岁到59岁不等.
主要成果:
- 在前五个案例中,手术手术医生无故地进行了手术.
- 发生了一例宫泄漏,该泄漏自发关闭.
- 平均手术时间为5.95小时,平均住院时间为25天.
- 没有观察到过度发病率.
结论:
- 引入了一种新的术语,用于胃切除术后的重建,使用右结肠与大肠水库的插入.
- 这种技术在提高进食能力方面具有优势.
- 胆心门可以有效地预防胆道反流.
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