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在接受 laparoscopic 袖子胃切除术的患者中治疗胆结石
1Alexandria University, Alexandria, Egypt. tamerbaki@hotmail.com.
在腹腔镜袖胃切除术 (LSG) 期间同时进行胆囊切除术是安全的,尽管它增加了手术时间. 手术后胆结石的发展是一个问题,特别是在无症状的患者拒绝手术,需要知情同意.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 胆结石的手术治疗方法
背景情况:
- 在减肥手术患者的胆结石管理是有争议的.
- 腹腔镜袖胃切除术 (LSG) 是一种常见的减肥手术.
- 胆结石疾病 (GSD) 和术后胆结石的发展是关键考虑因素.
研究的目的:
- 为了评估在LSG患者中GSD的管理.
- 为了评估手术后胆结石的发病率在LSG后.
- 为了比较同时胆囊切除术 (SCC) 与保守管理的结果.
主要方法:
- 对LSG患者的回顾性分析 (2020年10月 - 2023年11月).
- 收集的数据:人口统计,胆囊状况,手术细节,并发症.
- 对有症状的GSD和同意无症状患者进行的SCC.
主要成果:
- 391/2930 (13.34%) 的LSG患者患有GSD.
- 142名患者的SCC;手术时间增加了~35分钟,并发症没有增加.
- 手术后的胆结石:无胆结石患者的6.3%,无症状的GSD患者的4.95%,SCC下降.
结论:
- SCC是安全的,但增加了操作时间.
- 手术后的胆结石形成是一个问题,特别是在无症状的GSD患者中.
- 术前咨询对于讨论潜在的胆囊切除术在LSG后的需要至关重要.
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