基金复制在准食道修复中没有任何优势:一项回顾性多中心研究
Lene Østerballe1,2, Eirik K Aahlin2,3, Rasmus Goll2,4
1Department of Gastrointestinal Surgery, University Hospital of Northern Norway, St. Olavsgate 70, 9405 Harstad, Norway.
概括
添加尼森基复合术到胃口术中,以修复副食道,对症状控制或复发没有任何好处. 这种程序增加了操作时间和需要第二次维修的风险.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 副食道的修复经常结合了胃和 fundoplication.
- 在这些修复中,基金复制的必要性和潜在的副作用仍然是不确定的.
研究的目的:
- 为了比较 laparoscopic paraesophageal Hernia 修复的结果,使用 gastropexy 进行和没有 Nissen fundoplication.
主要方法:
- 追溯多中心研究,包括320名患有III-IV级间歇性的患者.
- laparoscopic 修复涉及囊去除,间隙关闭,和胃,与或没有尼森的 fundoplication.
- 评估的结果包括并发症,症状控制和复发率.
主要成果:
- 两组之间没有观察到术后并发症,术后症状或的复发的显著差异.
- 基囊复合与更长的手术时间 (中位数为108分钟而不是59分钟) 和需要第二次修复的风险增加了四倍.
- 在逆流控制或复发预防方面,没有发现基因组复制对单独的胃术的优势.
结论:
- 单独的前腔胃术就像结合的胃术和尼森囊复合一样有效,用于对食道的 Hernia修复.
- 添加尼森基底复合并不会改善结果,可能会增加重新手术的需要.
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