在内镜超声导向肝胃切除术后的不寻常并发症:需要精细的技术和专用设备
1Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 03080, South Korea.
World journal of gastroenterology
|December 8, 2025
概括
在内镜超声导向肝胃切除术 (EUS-HGS) 后的不寻常并发症可能涉及跨隔膜胆汁泄漏. 谨慎的技术和设备选择对于胰腺癌手术期间的患者安全至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 手术瘤学手术瘤学
背景情况:
- 内镜超声导向肝胃肠切除术 (EUS-HGS) 是一种先进的内镜手术.
- 并发症虽然很少发生,但可能会发生并需要仔细管理.
- 最近的一份病例报告详细介绍了胰腺癌患者在EUS-HGS后出现的异常并发症.
研究的目的:
- 分析和解释在EUS-HGS的案例报告中描述的不寻常的并发症.
- 为观察到的并发症提出替代解释,重点关注技术方面.
- 强调程序改进对于提高EUS-HGS的安全的重要性.
主要方法:
- 关于EUS-HGS并发症的发表案例报告的审查和批判分析.
- 临床表现的相关性 (暗色的尿液,胆汁染色的输液/) 与潜在的程序事件.
- 解释实验室检测结果 (多液与血清胆红素的比率) 来支持诊断假设.
主要成果:
- 患者呈现出深绿色的尿液,胆汁颜色的肺溢液,以及EUS-HGS后的.
- 并发症概况表明跨隔膜胆汁泄漏,可能来自隔膜附近的2段穿孔.
- 高膜液与血清胆红素的比率证实了胆汁泄漏;尿液变色表明了全身吸收.
结论:
- 跨隔膜胆汁泄漏是观察到的并发症的一个合理的解释.
- 用于囊扩张的设备选择和支架选择可能会影响并发症的发生.
- 精细的技术,细致的穿孔部位选择和专门的设备对于提高EUS-HGS安全至关重要.
更多相关视频
04:03Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
435
12:27Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
3.6K
相关概念视频
01:26Endoscopic Procedures V: ERCP
2.5K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.5K
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
506
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
506
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
820
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
820
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
789
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
789