laparoscopically 辅助皮肤内镜胃口切除术在那些难以进行内镜胃口切除术的患者中的可行性:一项回顾性研究
Akira Kameyama1, Seijiro Yoshifuku1, Masatake Miyamoto1
1Department of Gastrointestinal Surgery, Aizawa Hospital, Matsumoto, JPN.
Cureus
|June 16, 2025
概括
laparoscopically 辅助的皮肤内镜胃口术 (LAPEG) 在困难的病例中提供了与开放胃口术 (Open-G) 相似的结果. 这种最少的侵入性方法为那些在标准方法失败时需要肠道营养的患者提供了可行的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
背景情况:
- 穿皮内镜胃口术 (PEG) 是长期肠道营养的标准.
- 解剖学或病理学挑战可能会使标准PEG无法实现.
- 开放性胃口术 (Open-G) 是一个更具侵入性的替代方案,用于困难的病例.
研究的目的:
- 为了比较 laparoscopically辅助皮肤内镜胃口术 (LAPEG) 与开放式胃口术的外科结果.
- 评估LAPEG作为PEG指示困难的患者的替代方案.
主要方法:
- 对378次胃口切除术 (2016年1月 - 2025年2月) 的回顾性审查.
- 对16例"困难"胃口术病例 (4个LAPEG,12个Open-G) 的分析.
- 收集的数据:手术时间,血液损失,外科手术后的并发症;使用千平方和t测试进行分析 (P <0.05).
主要成果:
- 平均手术时间相似:49分钟 (LAPEG) 和55.5分钟 (开放G).
- 中位数的血液损失是可比的:3.5g (LAPEG) 与5g (开放G).
- 在LAPEG和Open-G组之间手术结果没有显著差异.
结论:
- 在困难的胃口外科病例中,LAPEG可与Open-G进行手术时间和手术结果的比较.
- 对于挑战PEG程序,LAPEG提供了一个潜在的不那么侵入性的选择.
- 需要进一步的大规模前性研究来确认LAPEG的临床益处.
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