儿童胃口管安置:避免切口以避免并发症
Audra J Reiter1,2, Faraz Longi1, Benjamin L Thomae1
1Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
概括
胃口管安置技术涉及管周围的切口,与增加的并发症有关. laparoscopic 或皮肤透视内胃口术可能为儿科患者提供更好的结果.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 胃口管安置技术存在显著的差异.
- 了解手术方法对并发症率的影响对于优化患者护理至关重要.
研究的目的:
- 研究不同胃口管安置手术方法与儿科患者30天并发症率之间的关联.
- 确定与更高并发症风险相关的手术技术.
主要方法:
- 在2019年6月至2022年4月期间,对521名接受胃口管安置的儿科患者进行了回顾性队列研究.
- 分析了胃口术的方法:腹腔镜,腹腔镜辅助,修改开放和皮肤内镜胃口术 (PEG).
- 多变量逻辑回归控制早产和体重,以评估并发症相关性.
主要成果:
- 腹腔镜辅助胃口术与整体并发症的可能性更高有关.
- 腹腔镜辅助和修改开放技术显示,伤口破裂和泄漏的几率增加.
- 没有发现手术方法与重新手术,再接收,伤口感染或管道脱之间有显著的关联.
结论:
- 胃口切口安置技术涉及管周围的切口 (腹腔镜辅助,修改开放) 与更高的并发症率有关.
- 外科医生应该考虑腹腔镜或皮肤内镜胃口术 (PEG),以潜在地改善并发症概况.
- 手术方法显著影响特定的并发症类型,突出显示了在儿科胃口腔安置中需要技术选择的必要性.
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