在儿童中,基本的 laparoscopic 干胃口技术的结果,有或没有 fundoplication
Sefer Tolga Okay1, Hasan Deliağa1, Hakan Özcan1
1University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Pediatric Surgery, Bursa, Türkiye.
概括
腹腔镜干胃口切除术 (LSG) 是一种安全有效的微创手术,用于放置胃口切除管,特别是在神经障碍儿童中. 这种方法显示出良好的中期结果,并发症率低.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性手术的方法
- 胃肠病学 胃肠病学
背景情况:
- 胃口管 (GT) 放置使用各种技术,包括开放式,内镜和腹腔镜方法.
- 腹腔镜干胃口术 (LSG) 是最近描述的一种用于GT插入的基本腹腔镜方法.
研究的目的:
- 评估基本腹腔镜干胃口术 (LSG) 方法的结果和安全性.
- 为了比较单独进行的LSG与与同时进行的基金复制进行的LSG.
主要方法:
- 在2016年至2024年期间,对122名接受LSG的患者进行了回顾性分析.
- 根据他们接受单独的LSG还是LSG与基囊复制的情况,患者被分组.
- 收集的数据包括人口统计,临床特征,手术发现和术后并发症.
主要成果:
- 在122名患者中进行了LSG,其中113人也接受了基金复制.
- 大多数患者 (79%) 患有神经功能障碍,症状包括发育不良 (53%) 和GERD (38%).
- 不需要转换为开放手术;小并发症发生在52%的患者中,大并发症发生在4%的患者中.
结论:
- LSG 方法是一种安全,有效和持久的最小侵入性选择,用于胃口管安置.
- 观察到令人满意的中期随访结果和较低的并发症率.
- LSG适用于患有神经系统疾病和其他需要胃口术的病理.
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