在小孩的腹腔镜胆囊切除术后保留了胆结石:一个系统的审查
Mohammed Al Blooshi1, Humaid Al Zaabi2, Fatima Al Harmoodi3
1Department of Pediatric Surgery & Urology, Al Jalila Children's Specialty Hospital, 6Th Street, Al Jaddaf, PO Box 300100, Dubai, United Arab Emirates. mohammed.alblooshi.aa@gmail.com.
Pediatric surgery international
|July 24, 2025
概括
在儿科腹腔镜胆囊切除术 (LC) 期间发生胆结石泄漏发生在4.3%的病例中. 虽然大多数流出的石头无症状,但1.7%导致并发症,需要仔细管理和进一步研究.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 儿科腹腔镜胆囊切除术 (LC) 是一种常见的手术.
- 在接受LC的儿童中,留住或泄漏胆结石的风险尚未确定.
研究的目的:
- 系统地审查儿科L.C.中留存或溢出的胆结石的发生率和临床意义.
- 识别潜在的并发症和管理策略.
主要方法:
- 对多个数据库 (MEDLINE,Embase,Scopus,Web of Science,Google Scholar) 和灰色文献进行系统审查,直到2024年.
- 包括12项研究,包括1057名儿科LC.
主要成果:
- 胆囊穿孔与可见的石头溢出发生在4.3%的儿科LC中.
- 在1.7%的病例中观察到临床上显著的保留结石并发症 (,常见的胆道结石).
- 所有并发症都通过各种干预措施成功管理.
结论:
- 胆结石的溢出和保留并不常见,但如果不仔细管理,可能会导致儿科胆结石的显著发病率.
- 需要对更大规模的前性研究进行进一步的研究,以完善预防策略和提高患者安全.
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