首页> 外文期刊>Nagoya journal of medical science >A new laparoscopic triangle fixation technique for gastrostomy: a safe and effective procedure for reduction of the wound infection rate
【24h】

A new laparoscopic triangle fixation technique for gastrostomy: a safe and effective procedure for reduction of the wound infection rate

机译:一种新型的用于胃造口术的腹腔镜三角固定技术:降低伤口感染率的安全有效方法

获取原文
       

摘要

Gastrostomy is often performed with fundoplication in handicapped children. We devised a new laparoscopic triangle fixation technique for gastrostomy. In this study, 100 patients underwent gastrostomy with fundoplication between January 2008 and January 2016. We retrospectively reviewed the early postoperative results between the new laparoscopic procedure (NLP) group (n = 63) and conventional procedure (CP) group (n = 37). In the CP, the gastrostomy tube was inserted with a purse-string ligature at the gastric wall, and the gastric wall was sutured to the peritoneum under a small laparotomy. In NLP, three sutures were placed on the gastric wall, forming the three sides of a triangle, and the tube was inserted into the center of the triangle. The ends of each suture were pulled directly through the abdominal wall using a laparoscopic percutaneous extraperitoneal closure needle to join the gastric wall and peritoneum. Both groups showed no significant differences in age, body weight, and external leakage rate. The wound infection rate was significantly lower in the NLP group. In conclusions, the NLP is straightforward and can achieve firm fixation between the stomach and abdominal wall by suturing in the form of a triangle. The NLP was associated with a lower complication rate, especially concerning infection.
机译:胃造口术通常在残障儿童中进行胃底折叠术。我们设计了一种用于胃造口术的新型腹腔镜三角固定技术。在本研究中,2008年1月至2016年1月期间,有100例患者接受了胃造口术并进行胃底折叠术。我们回顾性回顾了新的腹腔镜手术(NLP)组(n = 63)和常规手术(CP)组(n = 37)之间的早期术后结果。 。在CP中,在胃壁处插入带有胃袋状结扎带的胃造口管,并在小的剖腹手术中将胃壁缝合至腹膜。在NLP中,将三根缝合线放在胃壁上,形成三角形的三个侧面,然后将管子插入三角形的中心。使用腹腔镜经皮腹膜外闭合针将每根缝合线的末端直接拉过腹壁,以连接胃壁和腹膜。两组的年龄,体重和外漏率均无显着差异。 NLP组的伤口感染率显着降低。总之,NLP很简单,可以通过三角形缝合来实现胃壁和腹壁之间的牢固固定。 NLP与较低的并发症发生率相关,尤其是在感染方面。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号