机器人经胸食管切除术后的早期诊断性内窥镜检查和预防性支架植入术 - 从怀疑到标准化。

IF 2.7 4区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-11-07 DOI:10.17235/reed.2024.10800/2024

Álvaro Cerezuela Fernández de Palencia, David Ruiz de Angulo Martín, Vicente Munitiz Ruiz, Ana Conesa Pla, Juan Egea Valenzuela, Miriam Alajarin Cervera, María Muñoz Tornero, Luisa Fernanda Martínez de Haro

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引用次数: 0

摘要

癌症食管切除术后出现开裂的死亡率为 10%-40%，会延长住院时间，降低生存率。要预防开裂，必须正确选择患者，并采用能最大限度减少张力和缺血的手术技术。ERAS 方案和使用吲哚青绿等程序改善了对血管丰富区域的检测，但泄漏率仍超过 10%。在一系列接受机器人食管切除术的 12 名患者中，45.4% 接受了预防性支架治疗。这些患者的平均住院时间为 16 天，而发生开裂的患者则为 53.5 天。事实证明，早期内镜检查和放置预防性支架在减少并发症方面是安全有效的。

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Early diagnostic endoscopy and prophylactic stenting after robotic transthoracic esophagectomy - From scepticism to standardization.

Dehiscence following esophagectomy for cancer has a mortality rate of 10-40%, prolongs hospital stay, and reduces survival. To prevent it, proper patient selection and surgical techniques that minimize tension and ischemia are essential. Procedures such as ERAS protocols and the use of indocyanine green have improved the detection of well-vascularized areas, but the leak rate still exceeds 10%. In a series of 12 patients who underwent robotic esophagectomy, 45.4% received a prophylactic stent. These patients had a mean hospital stay of 16 days, compared to 53.5 days for those who experienced dehiscence. Early endoscopy and the placement of a prophylactic stent proved to be safe and effective in reducing complications.

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来源期刊

Revista Espanola De Enfermedades Digestivas 医学-胃肠肝病学

CiteScore

2.00

自引率

25.00%

发文量

400

审稿时长

6-12 weeks

期刊介绍： La Revista Española de Enfermedades Digestivas, Órgano Oficial de la Sociedad Española de Patología Digestiva (SEPD), Sociedad Española de Endoscopia Digestiva (SEED) y Asociación Española de Ecografía Digestiva (AEED), publica artículos originales, editoriales, revisiones, casos clínicos, cartas al director, imágenes en patología digestiva, y otros artículos especiales sobre todos los aspectos relativos a las enfermedades digestivas.