根据身体质量指数 (BMI) 划分层次的深层上胃血管的映射
Arturo Garza-Cavazos1, Christopher-Armand Mabini2, Maria Teresa Tam3
1Department of Obstetrics and Gynecology (Garza-Cavazos, Diaz-Sylvester, Groesch, Lay, Wilson, Loret de Mola), Southern Illinois University School of Medicine, Springfield, Illinois.
Journal of minimally invasive gynecology
|December 24, 2024
概括
从中线的深层上胃血管距离随着身体质量指数 (BMI) 的提高而增加. 肥胖患者 (BMI>35) 需要从中线放置>10厘米的港口,以避免受伤.
科学领域:
- 手术解剖学 手术解剖学
- 最少侵入性的手术
- 放射学 放射学是一门学科.
背景情况:
- 腹腔镜手术依赖于已建立的端口位置"安全区".
- 肥胖 (高体重指数 - BMI) 可能会改变解剖学里程碑.
- 深部上胃血管 (DEV) 的位置对于安全的港口安置至关重要.
研究的目的:
- 为了研究肥胖患者深层上胃血管 (DEVs) 的位置.
- 为了确定当前的腹腔镜端口放置"安全区"是否需要根据BMI重新定义.
- 评估BMI和DEV与腹部中线的距离之间的关系.
主要方法:
- 194名成年患者的回顾性病例系列.
- 分析了具有对比度的计算机断层扫描 (CT) 扫描.
- 在5个腹部水平上绘制了DEV位置,与BMI相关联.
主要成果:
- 与中线的DEV距离在较高的BMI类别中显著增加.
- 在BMI>35的患者中,DEV在关键水平上超过了从中线8厘米.
- 在BMI和DEV横向位移之间发现了显著的正相关性.
结论:
- 在肥胖患者中,DEVs是横移的.
- 目前的"安全区"对于BMI>35的患者来说可能不够.
- 建议肥胖患者从中线放置>10厘米的港口,以最大限度地降低受伤风险.
关键词:
人体解剖学 解剖学 解剖学计算机断层扫描 (CT) 是一种计算机断层扫描.胃外表表的表皮胃.妇科 妇科医生 妇科腹腔镜检查 (Laparoscopy) 是一个非常简单的方法.肥胖问题 肥胖问题放射学 放射学是一门学科.手术 手术 手术 术 术更多相关视频
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