在开放的肝脏中进行白色测试的标准化:朝着接近零的临床上显著的细菌泄漏
Gabriel Lazzarotto-DA-Silva1,2, Tomaz de Jesus Maria Grezzana-Fiilho1, Ian Leipnitz1
1Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Department of Liver Transplant and Hepatobiliary Surgery - Porto Alegre (RS), Brazil.
概括
标准化肝脏手术的白色测试有助于检测胆道泄漏. 这种新技术在初步的患者结果中没有显示出明显的胆道泄漏或胰腺炎.
科学领域:
- 肝胆道手术是肝胆道的手术.
- 手术并发症 手术并发症
- 诊断技术 诊断技术 诊断技术
背景情况:
- 胆管是肝切除后的一个常见的,高发病率的并发症.
- 白色测试有助于评估胆管,但缺乏标准化的程序.
- 没有确定的技术可以执行白色测试.
研究的目的:
- 为肝切除术患者标准化白色检测技术.
- 评估标准化白色测试的初步结果.
- 为了评估该测试在患有或没有先前胆囊切除术的患者中的有效性.
主要方法:
- 包括18岁以上的开放性肝切除术患者.
- 主要结局是胆管的发生率.
- 二次结局包括急性胰腺炎和整体发病率 (克拉维恩-丁多分类).
主要成果:
- 标准化白色测试对17名患者进行.
- 没有观察到临床意义上的胆道泄漏或急性胰腺炎.
- 一名患者患有肺炎 (Clavien-Dindo IV);其他患者有轻微的并发症.
结论:
- 标准化白色测试是一种有效的策略,用于检测手术内胆道泄漏.
- 这种技术在肝切除术患者中似乎是安全的和可行的.
- 进一步的研究可以验证其广泛的临床应用.
相关概念视频
Serum Laboratory Studies, Stool Test, Breath Test
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
Urine Studies II: Urine Culture and Sensitivity Test
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
Differential Staining Technique
Differential staining is an essential microbiological technique that exploits variations in cell wall structures to classify and identify microorganisms. It facilitates the distinction of bacteria, aiding in diagnostic and research applications. Two of the most widely used differential staining methods are Gram staining and acid-fast staining, both of which rely on the chemical and structural differences in bacterial cell walls.Gram Staining TechniqueGram staining differentiates bacteria by...


