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胆结石小结的手术管理:单中心实验中的腹腔镜和开放方法

Sangar Abdullah¹, Güney Özkaya¹, Adnan Gündoğdu¹

¹Department of General Surgery, Sancaktepe Şehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul 34785, Türkiye.

Medicina (Kaunas, Lithuania)

|December 31, 2025

概括

胆结石 (GI) 管理需要个性化的方法. 单独的肠切除术对于高风险患者是常见的,而单阶段手术适合稳定个体,腹腔镜在特定情况下是可行的.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
腹部外科手术腹部外科手术

背景情况:

胆结石结石 (GI) 是一种罕见的机械性肠道阻塞,由胆结石通过胆肠的冲击引起.
它占所有机械性肠道阻塞的1-4%,经常出现延迟诊断.

研究的目的:

为了评估临床方法,手术管理,以及为胆结石治疗的患者手术治疗的结果.
评估不同手术策略的疗效,包括微创手术.

主要方法:

在2018年1月至2024年12月期间,对12名经过手术治疗的胃肠道患者进行了回顾性队列分析.
数据包括人口统计,临床表现,成像 (Rigler三位一体的CT),手术方法和术后结果.

主要成果:

腹痛和吐是主要症状,入院平均延迟3.83天.
单独进行肠肠切除术的病例为66.7%,主要针对高风险的老年患者.
在41.7%的病例中,腹腔镜方法是成功的;41.7%的病例出现并发症,死亡率为8.3%.

结论:

个性化患者评估对于最佳的胆结石结石管理至关重要.
单独进行肠切除术和单阶段手术的有效性取决于患者的稳定性和剩余的胆结石.
最少侵入性腹腔镜技术可以安全地在具有适当专业知识的选定的胆结石胆结石患者中使用.

关键词:

里格勒的三合一.生物肠道囊胆结石胆结石胆结石胆结石胆结石腹腔镜检查是指腹腔镜检查.

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