通过皮肤进行的sigmoidopexy对于高手术风险的患者来治疗西格体卷发症是一个有用的替代方案吗?
Ingrid Tapiolas1, Ariadna Castellví2, Clara Skrabec2
1Colorectal Surgery, Hospital Universitari Germans Trias i Pujol, Spain.
Revista espanola de enfermedades digestivas
|January 20, 2025
概括
皮肤通透的西格莫伊多佩克西为老年患者提供了最少的侵入性替代方案,这些老年患者患有复发性西格莫伊德卷发症和并发症. 这种内镜手术在预防复发方面表现有前途,降低了高风险个体对手术的需求.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
背景情况:
- 复发性西格体卷发症是一个重大挑战,特别是在患有并发症的老年患者中.
- 在这种高风险人群中,手术干预通常是禁忌的.
研究的目的:
- 在不适合进行手术的老年患者中,为复发性西格体卷发症呈现两例通过肠镜辅助的皮肤输入性西格体.
- 评估这种微创技术的安全性和有效性.
主要方法:
- 在结肠镜指导下进行的皮肤通用sigmoidopexy.
- 使用T和内镜剪贴实现了固定.
主要成果:
- 这两位患者都得到了成功的治疗,没有并发症.
- 在手术后的六个月内,没有观察到西格体卷发症的复发.
结论:
- 通过结肠镜检查辅助的皮肤性西格莫伊多佩克西对于一些患有复发性西格莫伊德卷发症的高风险患者来说,是一种可行的外科手术替代方案.
- 需要进一步的研究来确定这种技术作为标准治疗选择.
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