皮肤内镜胃口术与儿科年龄的腹腔镜胃口术:一个系统的审查和元分析
Fabiola Cassaro1,2, Pietro Impellizzeri1, Agnese Bartolone1
1Department of Human Pathology of Adult and Childhood "Gaetano Barresi", Unit of Pediatric Surgery, University of Messina, Messina, Italy.
Journal of pediatric gastroenterology and nutrition
|November 13, 2025
概括
在儿科患者中,腹腔镜胃口术 (LAP) 和腹腔镜辅助胃口术 (LA-PEG) 与皮肤内镜胃口术 (PEG) 相比,较少出现重大并发症和重新干预. 尽管操作时间较长,但这些最小侵入性技术提供了更好的安全性.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 最少侵入性手术的方法
背景情况:
- 胃口术对于患有严重神经或慢性疾病的儿童的营养支持至关重要.
- 穿皮内镜胃口术 (PEG) 是一种常见的,快速的,微创的方法.
- 腹腔镜胃口术 (LAP) 和腹腔镜辅助胃口术 (LA-PEG) 是其他手术选择.
研究的目的:
- 在儿科患者中比较PEG,LAP和LA-PEG的安全性和有效性.
- 评估结果,包括主要/小并发症,死亡率和重新干预.
- 为胃肠术技术选择提供基于证据的建议.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在PubMed,Embase和CENTRAL中搜索到2025年6月之前的比较研究.
- 包括接受PEG,LAP或LA-PEG的儿科患者 (0-18岁);使用ROBINS-I和GRADE评估研究质量.
主要成果:
- 对19项涉及6,642名儿科患者的研究进行了分析.
- 与PEG相比,LAP和LA-PEG的重大并发症和重新干预率明显较低.
- 两种技术之间的死亡率,轻微并发症或开始营养的时间没有显著差异.
结论:
- 腹腔镜技术 (LAP和LA-PEG) 与改善儿童胃口术中重大并发症和重新干预的安全结果有关.
- PEG可能最适合用于腹腔镜方法禁忌的情况.
- 这些发现支持考虑腹腔镜方法,以提高儿科胃口术手术中的患者安全性.
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