肠的位置并不排除在易于跨体手术时的安全通道.
Yi Yuen Wang1,2, Gabriel Pokorny3, Bryden Dawes1
1St Vincent's Private Hospital, Melbourne, Australia.
Neurosurgical review
|October 10, 2025
概括
在易受转移 (PTP) 手术期间的肠道覆盖并不是一个禁忌. 一个新的分级系统没有发现任何肠道并发症,无论肠道位置如何,这挑战了先前的放射学担忧.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 外科手术的安全性
- 胃肠道并发症 胃肠道并发症
背景情况:
- 有矛盾的报道存在关于侧脊椎外科手术的安全性在易受转骨外科手术.
- 现有的数据主要基于尸体和放射学研究,缺乏关于安全性的临床证据.
- 需要临床数据来评估手术走廊的安全性,特别是关于肠道位置的临床数据.
研究的目的:
- 引入一个分级系统,以评估手术接近走廊的安全性,在易受转移 (PTP) 手术中.
- 为了评估肠道位置对PTP手术后肠道并发症的影响.
- 要确定肠道覆盖是否是PTP方法的禁忌.
主要方法:
- 对从接受PTP手术的患者前性收集的数据进行回顾.
- 开发和应用一个五点分级系统来评估肠道覆盖.
- 分析肠道覆盖等级,BMI,手术侧面和脊柱水平之间的相关性.
- 主要结局指标是肠道损伤的发生率.
主要成果:
- 包括140名患者,接受了207个脊柱水平的PTP手术.
- 在较高的肠道覆盖等级和较低的身体质量指数 (BMI) 之间观察到一种相关性.
- 在任何级别的肠道覆盖中都没有遇到肠道并发症,包括高级覆盖 (3-5级).
结论:
- 肠道覆盖横盘在俯卧位置的存在并不是PTP方法的禁忌.
- 解剖学和放射学发现表明,在躺着的位置有有限的后位空间,对PTP安全性具有最小的临床意义.
- 临床数据支持PTP方法的安全性,无论手术前的肠位置如何.
相关概念视频
Anatomical Positions
18.8K
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
18.8K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
560
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
560
Inflammatory Bowel Disease V: Surgical Management
450
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
450
Assessment of the Rectum and Anus
1.1K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.1K


