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Purely laparoscopic feeding jejunostomy: a procedure which deserves more attention

机译:纯粹的腹腔镜喂养jejunostomy:一种值得更加关注的程序

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Laparoscopic procedure has inherent merits of smaller incisions, better cosmesis, less postoperative pain, and earlier recovery. In the current study, we presented our method of purely laparoscopic feeding jejunostomy and compared its results with that of conventional open approach. We retrospectively reviewed our patients from 2012 to 2019 who had received either laparoscopic jejunostomy (LJ, n?=?29) or open ones (OJ, n?=?94) in Chang Gung Memorial Hospital, Linkou. Peri-operative data and postoperative outcomes were analyzed. In the current study, we employed 3-0 Vicryl, instead of V-loc barbed sutures, for laparoscopic jejunostomy. The mean operative duration of LJ group was about 30?min longer than the OJ group (159?±?57.2?mins vs 128?±?34.6?mins; P?=?0.001). There were no intraoperative complications reported in both groups. The patients in the LJ group suffered significantly less postoperative pain than in the OJ group (mean NRS 2.03?±?0.9 vs. 2.79?±?1.2; P?=?0.002). The majority of patients in both groups received early enteral nutrition (?48?h) after the operation (86.2% vs. 74.5%; P?=?0.143). Our study demonstrated that purely laparoscopic feeding jejunostomy is a safe and feasible procedure with less postoperative pain and excellent postoperative outcome. It also provides surgeons opportunities to enhance intracorporeal suture techniques.
机译:腹腔镜手术具有较小的切口的固有优点,更好的植物,术后疼痛较少,以及早期的恢复。在目前的研究中,我们介绍了我们纯粹的腹腔镜喂养JejunoStomy的方法,并将其结果与传统的开放方法进行了比较。我们回顾性地审查了2012年至2019年的患者,他们接受了腹腔镜JejunoStomy(LJ,N?= 29)或在常Gung Memorial Hospital,Linkou的开放(OJ,N?= 94)。分析了Peri-术语和术后结果。在目前的研究中,我们使用3-0 vicryl,而不是V-Loc刺缝合,用于腹腔镜Jejunostomy。 LJ组的平均手术持续时间比OJ组长约30?min(159?±57.2?mins与128?±34.6?mins; p?= 0.001)。两组没有报道术中并发症。 LJ组中的患者患者术后明显不如OJ组(平均值2.03?±0.9与2.79?±1.2; p?= 0.002)。两组患者的大多数患者在手术后接受了早期肠内营养(&48Ωh)(86.2%vs.7.5%; p?= 0.143)。我们的研究表明,纯腹腔镜喂养Jejunostomy是一种安全可行的程序,术后疼痛较少和优异的术后结果。它还为外科医生提供了增强体内缝合技术的机会。

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