儿童经皮内镜与腹腔镜胃造口术后家长满意度及长期标准化结果评价。

IF 0.8 4区 医学 Q4 SURGERY
Thomas Pattyn, Matthias Verbesselt, Kirsten Das, Ilse Hoffman, Marguerite Stas, Tania Claeys, Marc Miserez
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引用次数: 0

摘要

导言:经皮内镜(PEG)和腹腔镜胃造口术(LG)是两种广泛应用于婴儿胃造口置入的技术。我们的目的是比较并发症的风险使用一个有效的分级系统和家长满意度。方法:回顾性分析在三级转诊中心接受胃造口术的婴儿。使用Clavien-Dindo (CD)系统对局部和一般并发症进行分级,并将其分为术后早期(≤30天)和晚期(≤30天)。采用问卷(数值评定量表0- 10)对家长满意度进行前瞻性评估。结果:102例患者中,52例行LG, 50例行PEG。一般并发症(cdiiia, IIIb和IV)很少发生,并且都发生在晚期(n = 3),局部并发症很常见:LG队列中发生的轻微局部早期并发症是前者的两倍,但这没有统计学意义(28.8%对14.0%;p = 0,092)。PEG组有更多主要的局部晚期cdiiib并发症的趋势,但这没有统计学意义(20.4% vs 8.0%;p = 0.088)。移除钮扣后,LG术后需要手术关闭胃皮瘘的风险更高(53.1% vs 26.7%);p = 0.003)。两组的父母满意度都很高(PEG组平均得分8.3,LG组平均得分7.9;p = 0.341)。结论:胃造口术后一般并发症发生率较低,但局部并发症较为常见。然而,PEG与主要长期局部并发症的高风险相关,而LG在钮扣移除后需要更多的手术闭合。两组家长的满意度都很高。需要进一步的前瞻性比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parental satisfaction and long term standardized outcome evaluation after percutaneous endoscopic vs laparoscopic gastrostomy in children.

Introduction: Percutaneous endoscopic (PEG) and laparoscopic gastrostomy (LG) are two widely used techniques for gastrostomy placement in infants. We aimed to compare the risk of complications using a validated grading system and parent satisfaction.

Methods: Infants undergoing gastrostomy placement in a tertiary referral center were retrospectively included. Local and general complications were graded using the Clavien-Dindo (CD)system and categorized as early (≤ 30 days) vs late (>30 days) postoperatively. Parent satisfaction was evaluated prospectively using a questionnaire (Numeric Rating Scale 0- 10).

Results: Out of 102 patients, 52 underwent LG and 50 PEG. General complications (CD IIIa, IIIb and IV) were rare and occurred all late (n = 3), local complications were common: twice as much minor local early complications occurred in the LG cohort, however this was not statistically significant (28.8% vs 14.0%; p = 0.092). There was a trend toward more major local late CD IIIb complications in the PEG group, but this was not statistically significant (20.4% vs 8.0%; p = 0.088). After button removal, there was a higher risk of gastrocutaneous fistula requiring surgical closure after LG (53.1% vs 26.7% after PEG; p = 0.003). Parental satisfaction was high in both groups (mean score 8.3 for PEG vs 7.9 for LG; p = 0.341).

Conclusion: While the risk of general complications after gastrostomy placement is low, local complications are common. However not significant, PEG was associated with a higher risk of major long-term local complications, while LG required more surgical closures after button removal. Parental satisfaction was high in both groups. Further prospective comparisons are needed.

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来源期刊
Acta Chirurgica Belgica
Acta Chirurgica Belgica 医学-外科
CiteScore
1.60
自引率
12.50%
发文量
82
审稿时长
6-12 weeks
期刊介绍: Acta Chirurgica Belgica (ACB) is the official journal of the Royal Belgian Society for Surgery (RBSS) and its affiliated societies. It publishes Editorials, Review papers, Original Research, and Technique related manuscripts in the broad field of Clinical Surgery.
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