Laparoscopic Surgery for Superior Mesenteric Artery Syndrome.

IF 2.1 4区医学 Q2 SURGERY

Journal of Investigative Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-27 DOI:10.1080/08941939.2024.2387524

Shao-Bei Lu, Yong-Qiang Guo, Ren-Yin Chen, Yu-Feng Zhang

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引用次数: 0

Abstract

Background: Superior mesenteric artery syndrome (SMAS) is a rare condition, for which laparoscopic surgery was successfully performed safely and with long-term efficacy.

Methods: This single center retrospective clinical study comprised 66 patients with SMAS, surgically treated between January 2010 and January 2020, who were allocated to three different surgical groups according to their medical history and symptoms (Laparoscopic duodenojejunostomy, n = 35; Gastrojejunostomy, n = 16; Duodenojejunostomy plus gastrojejunostomy, n = 15). Patient demographics, surgical data and postoperative outcomes were retrieved from the medical records.

Results: All operations were successfully completed laparoscopically, and with a median follow-up of 65 months, the overall symptom score was significantly reduced from 32 to 8 (p < 0.0001) and the BMI was increased from 17.2 kg/m² to 21.8 kg/m² (p < 0.0001).

Conclusions: When conservative measures failed in the treatment of SMAS, laparoscopic surgery proved to be a safe and effective method. The specific surgical technique was selected according to the history and symptoms of each individual patient. To our knowledge, this study represents the largest number of laparoscopic procedures at a single center for the treatment of superior mesenteric artery syndrome.

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腹腔镜手术治疗肠系膜上动脉综合征。

背景：肠系膜上动脉综合征（SMAS肠系膜上动脉综合征（SMAS）是一种罕见的疾病，腹腔镜手术成功地治疗了这种疾病，并且安全、长期有效：这项单中心回顾性临床研究包括在2010年1月至2020年1月期间接受手术治疗的66名肠系膜上动脉综合征患者，根据病史和症状将他们分配到三个不同的手术组（腹腔镜十二指肠空肠吻合术，35人；胃空肠吻合术，16人；十二指肠空肠吻合术加胃空肠吻合术，15人）。患者的人口统计学、手术数据和术后结果均来自病历：所有手术均在腹腔镜下成功完成，中位随访时间为 65 个月，总体症状评分从 32 分至 8 分（P 2）明显降低至 21.8 kg/m2（P 结论：所有手术均在腹腔镜下成功完成，总体症状评分从 32 分至 8 分（P 2）明显降低至 21.8 kg/m2（P 3）：当保守治疗SMAS无效时，腹腔镜手术被证明是一种安全有效的方法。具体的手术方法要根据每位患者的病史和症状来选择。据我们所知，这项研究是单个中心治疗肠系膜上动脉综合征的最大规模腹腔镜手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Investigative Surgery 医学-外科

CiteScore

4.20

自引率

0.00%

发文量

114

审稿时长

6-12 weeks

期刊介绍： Journal of Investigative Surgery publishes peer-reviewed scientific articles for the advancement of surgery, to the ultimate benefit of patient care and rehabilitation. It is the only journal that encompasses the individual and collaborative efforts of scientists in human and veterinary medicine, dentistry, basic and applied sciences, engineering, and law and ethics. The journal is dedicated to the publication of outstanding articles of interest to the surgical research community.