通过皮肤进行内镜内切除术,以同时使用两个内镜进行广泛的隔离内:两例病例的报告
Keigo Oshiro1, Kazuo Hara2, Tomoki Ogata1
1Department of Gastroenterology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, 464-8681, Japan.
Clinical journal of gastroenterology
|July 21, 2025
概括
与手术相比,对隔墙性亡 (WON) 的内镜升级方法提供了更短的住院时间和更少的重新干预. 同时的双透皮内镜性瘤切除术 (PEN) 对广泛的WON病例显示出希望.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 胰腺疾病 胰腺疾病
背景情况:
- 隔墙性亡 (WON) 是急性胰腺炎的严重并发症.
- 内镜升级方法 (ESU) 是手术管理的替代方案.
- 这种ESU涉及内镜超声波导向排水和尸体切除术.
研究的目的:
- 为了评估同时进行双通皮内镜内切除术 (PEN) 对广泛的WON的疗效.
- 为复杂的WON病例提供一种新的最小侵入性技术.
主要方法:
- 病例报告:两名重症患者患有广泛的WON和败血症.
- 使用同时的双内镜PEN进行治疗.
- 强调复杂案件的多学科方法.
主要成果:
- 在这两位患者中成功治疗了广泛的WON和不受控制的败血症.
- 证明了同时使用双PEN的安全性和有效性.
- 突出了PEN作为一个可行的最小侵入性选择.
结论:
- 同时的双PEN是一个有前途的战略,用于广泛的WON.
- 最少侵入性内镜技术可以有效治疗复杂的胰腺缩.
- 适当的患者选择和技术对于成功的结果至关重要.
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