在结直肠外科手术中循环合器和静脉漏:元分析
Claudio Fiorillo1, Vincenzo Tondolo2,3, Beatrice Biffoni1
1Digestive Surgery Unit, Fondazione Policlinico Universitario 'Agostino Gemelli' IRCCS, Rome, Italy.
BJS open
|April 9, 2025
概括
较大的圆形合器和手动技术增加了结直肠切除后的动静脉泄漏. 动力合器和单段合技术降低了泄漏率,改善了患者的治疗结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术技术 手术技术
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 在结直肠切除后,解剖漏是显著的并发症.
- 圆形合器被广泛使用,但最佳设备选择仍在争论中.
- 了解接器特性对泄漏的影响对于患者安全至关重要.
研究的目的:
- 为了评估循环接器特征对静脉流泄漏的影响.
- 根据接器直径,行,技术和技术来比较泄漏率.
- 在左结直肠切除中提供基于证据的建议,用于接器选择.
主要方法:
- 21项回顾性研究 (24,511名患者) 的系统审查和元分析.
- 在PubMed,Scopus和Web of Science数据库中搜索到2023年11月.
- 分析了接器直径,行,手动与动力技术,以及单对双接技术.
主要成果:
- 与28/29毫米相比,31/33毫米的接器直径与较高的泄漏率有关.
- 与手动相比,动力合器技术显著减少了泄漏.
- 单技术的泄漏率低于双技术的泄漏率.
结论:
- 较大的接器直径和手动技术与增加的静脉通道泄漏有关.
- 电动接机和单重接技术似乎更安全,减少了泄漏风险.
- 三级技术在减少静脉漏方面没有显示出任何优势.
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