腹腔镜辅助与直肠形的开放性结肠直肠术:术后结果的比较
G Axelsson1, A Gunnarsdóttir2,3, T Wester2,3
1Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden. gustav.axelsson@ki.se.
Pediatric surgery international
|July 27, 2025
概括
laparoscopically 辅助结肠直肠术显示类似的术后并发症风险与新生儿直肠形 (ARM) 的开放结肠直肠术相比. 这种微创手术方法不会显著改变康复时间或住院时间.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 新生儿护理 新生儿护理
背景情况:
- 结肠直肠切除术是新生儿被诊断患有直肠形 (ARM) 的频繁手术干预.
- 标准的开放性结肠直肠术程序与潜在的术后并发症有关.
- 已经探索了 laparoscopic 技术来减轻这些风险.
研究的目的:
- 为了比较腹腔镜辅助结肠静脉切除术的术后结果与 ARM 婴儿的传统开放结肠静脉切除术.
- 评估两种手术方法之间的并发症率和恢复指标.
主要方法:
- 对于在2012年至2022年期间接受结肠直肠切除手术的ARM新生儿的医疗记录的回顾性审查.
- 将患者分为腹腔镜辅助和开放性结肠镜组.
- 时间比较到第一次口服养,住院时间和Clavien-Dindo并发症分级.
主要成果:
- 分析了44名患有ARM的新生儿;14名患有腹腔镜辅助结肠直肠术.
- 第一次口服养的中位时间为0天,中位住院时间为8天,没有显著的群体间差异.
- 术后并发症 (Clavien-Dindo ≥ IB) 在腹腔镜组的14%和开放组的23%发生 (p=0.6),严重程度没有显著差异.
结论:
- laparoscopically 辅助结肠镜显示了与 ARM 的新生儿开放结肠镜相比,术后并发症的风险相当.
- 这项研究表明,腹腔镜方法是一种安全的替代方案,而不会影响患者的治疗结果.
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