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一个阶段的透过门与一个阶段的腹腔镜辅助的透过门直肠拉透,用于治疗儿科年龄组的希尔施普朗格病;一项回顾性研究

Ahmed Elrouby¹, Sameh Shehata², Saber Waheeb²

¹Department of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt. elroubypaedo@gmail.com.

|February 8, 2025

概括

跨门内肠直肠拉透 (TAERPT) 和腹腔镜辅助内肠直肠拉透 (LAERPT) 对于希尔施普朗格.

科学领域:

儿科外科手术儿科外科手术
胃肠道手术胃肠道手术
微创手术是最少的侵入性手术.

背景情况:

希尔施普朗格病的管理已经发展到最少的侵入性技术.
一个阶段的手术方法包括纯粹的透过门或腹腔镜辅助的途径.
这项研究比较了这两种方法的外科和功能结果.

研究的目的:

为了比较透过门内肠直肠拉透 (TAERPT) 与腹腔镜辅助内肠直肠拉透 (LAERPT) 的手术和功能结果,在患有赫斯普朗氏病的儿科患者中.
评估手术数据和术后结果,包括并发症,食耐受性和住院时间.
评估长期的功能性结果,如排便频率,便秘,肠球炎,门狭窄和容等.

主要方法:

对72名患有赫施普朗格病的儿科患者进行了回顾性研究.
组A:40名患者接受TAERPT治疗.
组B:32名患者接受LAERPT治疗. 人口,手术和术后数据的比较.

主要成果:

组A的患者在手术时显著年轻 (13.95±18.18天) 比B组 (32.03±16.20天).
手术持续时间相似,但B组的门阶段 (47.81±18天) 与A组 (96.50±38.60天) 相比显著缩短.
乙组的住院时间较短 (5.78 ± 2.41天) 与甲组 (7.20 ± 2.78天) 相比. 早期/晚期随访参数没有显著差异.

结论:

无论是TAERPT还是LAERPT,都为希尔施普朗格病提供了相似的外科和功能结果.
拉尔普特与较短的手术关阶段和住院住院有关.
腹腔镜辅助可以在手术时间和患者康复方面提供优势.

关键词:

腹腔镜检查 (Laparoscopy) 是一个非常好的方法.一个阶段的单阶段.结果的结果.苏维亚苏维亚苏维亚跨门的跨门的

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