手术方法对手术后并发症的影响 儿童胃口管安置后的手术方法对术后并发症的影响
Noah Wilson1, Catherine Dawson-Gore2, Nell Weber2
1Creighton University School of Medicine, Omaha, Nebraska USA.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|February 4, 2026
概括
在儿童腹腔镜胃口管 (GT) 放置期间使用的胃口术方法不会显著影响术后并发症率. 然而,与其他方法相比,横腹 sutures (TAS) 可能会导致手术后电话更少.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性手术的方法
- 手术技巧 手术技巧
背景情况:
- 胃术是腹腔镜胃口管 (GT) 放置的常见组成部分.
- 已建立的胃术方法包括跨面 (TFS),跨腹部 (TAS) 和T紧固件 (TF).
- 这些胃术技术对术后结果的比较影响尚不清楚.
研究的目的:
- 评估所选择的胃术方法是否会影响儿科患者腹腔镜GT安置后常见的术后并发症的发生.
- 为了比较不同胃术技术的并发症率:TFS,TAS和TF.
主要方法:
- 在2018年1月至2023年5月期间在单一中心进行了腹腔镜GT安置的332名儿科患者的回顾性审查.
- 排除标准包括被归类为伤口II类 (清洁污染) 或更高的并发程序.
- 评估的主要结局是细胞炎,管脱落,颗粒组织,急诊室访问,再入院和重新手术.
主要成果:
- 总共分析了332名患者:179名TFS患者,110名TAS患者和43名TF患者.
- 接受TF胃术的患者年龄较大,并且更频繁地接受GT用于药物/液体接入.
- 术后主要并发症 (细胞炎,脱落,颗粒组织,急救诊所访问,再入院,重新手术) 没有显著的差异被观察到在胃症组之间.
- 与TFS和TF组相比,TAS胃症患者对儿科外科诊所的手术后电话较少.
结论:
- 在腹腔镜GT安置期间使用的胃术方法似乎不会显著改变儿科患者常见的术后并发症的发生率.
- 虽然跨腹部 (TAS) 可能与手术后电话减少有关,但潜在原因需要进一步调查.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
1.0K
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.0K
Hemodialysis II: Procedure and Complications
865
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
865
Pneumonia III: Complications and Assessment
875
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
875
Diabetes: Symptoms, Diagnosis, and Complications
2.4K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.4K
Asthma-III: Symptoms and Complications
3.4K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
3.4K
Uterine Tubes
2.4K
The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
2.4K


