使用视频辅助门囊治疗 (VAAFT) 隐藏的内部开口的内镜识别
Yasemin Yildirim1, Onur Bayraktar2, Ilknur Erenler Bayraktar3
1General and Colorectal Surgery, Florence Nightingale Hospital, Istanbul, TUR.
Cureus
|October 23, 2025
概括
视频辅助门管治疗 (VAAFT) 成功管理了复杂的,复发的门管在一个患者之前多次手术. 这项技术确定了内部开口,从而改善了症状和生活质量.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性手术的方法
- 阳道疾病 阳道疾病
背景情况:
- 复杂和反复出现的直肠囊会带来重大的外科手术挑战.
- 识别内部状管的开口对于成功治疗至关重要,但在重新手术的情况下可能很困难.
研究的目的:
- 介绍视频辅助门管治疗 (VAAFT) 在患有复杂,反复复发的门管患者的经验.
- 评估VAAFT在以前无法识别内部囊开口的情况下的疗效.
主要方法:
- 视频辅助门囊治疗 (VAAFT) 在全身麻醉下进行.
- 使用螺镜可视化和去除状通道,包括识别内部开口.
- 放置了排水塞顿,以管理主要通道,同时保持关节功能.
主要成果:
- VAAFT成功地确定了内部开口,并将状的小区拆除.
- 所有二次通道在程序后四个月内关闭.
- 由于先前的干预措施,主要通道演变成了上囊,需要继续使用塞顿进行管理.
- 患者报告了症状和生活质量的显著改善.
结论:
- 复杂和反复复发的囊,特别是当内部开口很难定位时,VAAFT是一种有价值的选择.
- 该技术允许精确识别和脱bridment的路径,潜在地改善在具有挑战性的情况下的结果.
- 对于用VAAFT治疗的复杂囊,可能需要持续的随访和设置管理.
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