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在胃肠道外科手术中用于术后排水相关泄漏管理的内镜囊串接技术

Guangxu Zhu^1,2, Lingai Kong^1,2, Xiuwen Liu^1,2

¹Weifang People's Hospital, Weifang, Shandong, China.

|October 4, 2025

概括

内镜带接为腹部排水相关囊 (ADAF) 提供了一种安全有效的微创治疗方法. 这种技术在具有较小孔径的孤立ADAF中显示出最佳结果.

科学领域:

胃肠病学胃肠病学
手术创新在外科创新.
最少侵入性手术的方法

背景情况:

腹部排水相关的囊 (ADAF) 是胃肠道手术后的严重并发症.
传统的重新运行涉及高风险和长时间的恢复.
这项研究研究了内镜带接作为一种替代的管理策略.

研究的目的:

为了评估ADAFs的内镜袋串合的临床疗效和安全性.
为了比较孤立的ADAFs和具有静脉断的ADAFs之间的结果.
为了确定这种内镜技术的治疗疗效的预测因素.

主要方法:

对41名患有术后ADFAF的患者进行了回顾性队列分析.
在2015年1月至2024年6月期间接受治疗的患者.
包括来自多个推中心的数据.

主要成果:

在内镜干预方面,技术成功率为87.8%,临床成功率为63.4%.
单独的ADAF (90.0%) 的结果明显更好,而非带有静脉断的患者 (39.1%).
手术前的静脉静脉狭窄和孔直径大于1厘米是降低疗效的独立预测因素.

结论:

透视带 suturing 是一个安全和有效的最小入侵的选择 ADAFs.
在隔离的ADAF中,孔径≤1厘米的ADAF可以获得最佳结果.
在12个月的随访期间没有观察到死亡率或瘤复发;术后狭窄是可控的.

关键词:

解剖学上的泄漏.进行内镜干预.胃肠道手术胃肠道手术钱包绳接接钱包绳接

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