拉德手术期间的预防性尾切除术:对日本的机构方法及其理由的多中心调查
Shojiro Hanaki1,2, Yudai Goto3,4, Keigo Yada3,5
1Japanese Society of Pediatric Surgeons Under-45 Working Group, Tokyo, Japan. shojiro-hanaki@s.okayama-u.ac.jp.
Pediatric surgery international
|February 9, 2026
概括
日本儿科外科医生在拉德对中肠的手术期间,在预防性尾切除方面存在分歧. 决策平衡未来的诊断清晰度与不必要的手术风险.
科学领域:
- 儿科手术 儿科手术
- 手术手术手术手术手术手术手术手术手术手术
- 胃肠道手术 胃肠道手术
背景情况:
- 拉德手术是中肠卷发症的关键手术.
- 在拉德手术期间预防性尾切除术的作用仍在争论中.
- 对于新生儿的常规尾切除术,机构的做法各不相同.
研究的目的:
- 为了记录在拉德手术期间预防性尾切除的日本机构策略.
- 确定指导这些外科决定的理由和例外情况.
- 了解日本这种手术实践的现状.
主要方法:
- 在日本的儿科外科机构分发了一个横截面问卷调查.
- 机构报告了他们在紧急Ladd手术的标准化场景中对预防性尾切除的方法.
- 来自45个机构的答案被描述性地分析.
主要成果:
- 近一半的响应机构 (48.9%) 在拉德手术期间经常进行预防性尾切除;51.1%没有.
- 性能原因包括预防未来的尾炎和诊断混乱.
- 不执行的原因集中在先进的成像和避免不必要的程序.
结论:
- 在拉德手术中,日本机构在预防性尾切除方面表现出标准化但不同的方法.
- 这些发现突出了诊断,手术和重建考虑之间的平衡.
- 提供了一种基础,以完善的协议和基于结果的研究在儿科手术.
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