需要腹部外科手术的并发症在内镜治疗的胰腺壁状瘤患者:单个中心病例系列
Lise Rasmussen1, Mohamed Ebrahim1, Mikkel Parsberg Werge1
1Pancreatitis Center Copenhagen, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre.
Pancreas
|June 19, 2025
概括
9%的接受胰腺隔离性瘤 (WON) 内镜治疗的患者需要手术. 肠道缺血是最常见的需要手术的并发症,但手术和非手术组之间的死亡率相似.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
背景情况:
- 胰腺隔离性亡 (WON) 是胰腺炎的一种严重并发症.
- 对于有症状的WON,最好采用内镜治疗,但可能需要手术干预.
- 在内镜治疗期间或之后出现的并发症可能需要腹部手术.
研究的目的:
- 为了评估需要腹部手术的并发症的发病率和类型,在接受内镜治疗的患者进行症状性WON.
- 在这个患者群体中确定手术干预的主要原因.
主要方法:
- 在10年的时间内,对连续接受内镜治疗的WON患者进行了回顾性审查.
- 确定需要紧急腹部手术的患者.
- 对并发症类型和结果的分析.
主要成果:
- 在271名患者中,有24名患者 (9%) 出现了需要手术的并发症.
- 大多数手术 (66%) 发生在初始内镜治疗后.
- 肠道缺血 (46%) 是最常见的并发症,其次是出血,穿孔,狭窄和.
- 在需要手术的患者和没有手术的患者之间,死亡率没有显著差异 (20.8%对13.8%).
结论:
- 需要腹部手术的并发症发生在约9%的患者内镜治疗WON.
- 肠道缺血是WON患者手术干预的主要原因.
- 虽然WON的内镜治疗通常是安全的,但存在需要手术管理的并发症风险.
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