腹腔镜袖带胃切除术后缝合线渗漏的处理:单中心经验

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
T. Uprak, Mümin Coşkun, M. U. Ugurlu, Ömer Günal, A. Cingi, C. Yeğen
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引用次数: 0

摘要

目的:在肥胖症手术中,腹腔镜袖带胃切除术(LSG)是一种常用的方法。但也存在一些并发症。渗漏是手术后最严重的并发症之一,会导致术后发病率和死亡率。目前对 LSG 术后渗漏的处理还没有达成共识。在我们的研究中,我们旨在介绍我们处理 LSG 渗漏的经验。患者和方法:回顾性分析 2010-2017 年间在一家三级大学医院接受 LSG 的患者。根据前瞻性记录数据分析了确诊为 LSG 管漏患者的人口统计学特征、内窥镜和手术干预、发病率和死亡率。结果显示在总共 510 例 LSG 患者中,有 11 例(2.15%)观察到漏液。其中 6 例(54%)被诊断为急性漏液,5 例为早期漏液。大多数患者(72%)在进行或不进行手术探查的情况下使用了支架。平均住院时间为 21 天。有 2 名患者死亡。结论:因此,LSG术后渗漏是一种需要多模式治疗的并发症。手术治疗结合内窥镜干预可提高成功率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of staple line leaks after laparoscopic sleeve gastrectomy: Single-center experience
Objective: In obesity surgery, laparoscopic sleeve gastrectomy (LSG) is a frequently applied method. However, there are certain complications. Leakage is one of the most serious complications after surgery, causing postoperative morbidity and sometimes mortality. There is no consensus about management of leaks after LSG. In our study, we aimed to present our experience on the management of LSG leaks. Patients and Methods: Patients who underwent LSG between 2010-2017 in a tertiary university hospital were analyzed retrospectively. Demographic characteristics, endoscopic and surgical interventions, morbidity, and mortality rates of patients diagnosed with LSG leak were analyzed from prospectively recorded data. Results: Leak was observed in 11 (2.15%) of a total of 510 LSG patients. Six (54%) patients were diagnosed as acute and 5 were early leaks. Stent was applied to most of the patients (72%) with or without surgical exploration. The average length of stay in hospital was 21 days. Mortality was observed in 2 patients. Conclusions: Consequently, leakage after LSG is a complication that requires multimodal therapy. Surgical treatment combined with endoscopic intervention may increase success.
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来源期刊
Marmara Medical Journal
Marmara Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
0.30
自引率
0.00%
发文量
0
期刊介绍: Marmara Medical Journal, Marmara Üniversitesi Tıp Fakültesi tarafından yılda üç kere yayımlanan multidisipliner bir dergidir. Bu dergide tıbbın tüm alanlarına ait orijinal araştırma makaleleri, olgu sunumları ve derlemeler İngilizce veya Türkçe olarak yer alır.
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