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首页> 外文期刊>Surgical Endoscopy >Stapled laparoscopic cystgastrostomy: a series with 15 cases.
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Stapled laparoscopic cystgastrostomy: a series with 15 cases.

机译：吻合器腹腔镜膀胱造口术：共15例。

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BACKGROUND: The goal of this study was to assess the clinical outcome of patients undergoing laparoscopic stapled cystgastrostomy for pancreatic pseudocysts in contact with the posterior wall of the stomach. METHODS: We performed a case note review of all patients who have undergone stapled laparoscopic cystgastrostomy in Norwich, UK. The cystgastrostomy was fashioned through an anterior gastrotomy using a vascular ETS stapling device in all cases. RESULTS: Fifteen patients have undergone stapled laparoscopic cystgastrostomy. The procedure was completed successfully in 12 patients. Three procedures were converted to open surgery for technical reasons. There were no complications due to bleeding from the cystgastrostomy. Early complications included systemic sepsis (one), bleeding gastric ulcer (one) and pseudocyst recurrence due to partial closure of the cystgastrostomy (two). No late recurrences or other complications have been found at a median follow-up of 37 months. CONCLUSION: Stapled laparoscopiccystgastrostomy is a safe and effective procedure for draining pancreatic pseudocysts in contact with the posterior wall of the stomach. The use of a hemostatic stapling device to fashion the cystgastrostomy may reduce the risk of catastrophic hemorrhage from the pseudocyst wall.
机译：背景：本研究的目的是评估接受腹腔镜缝合吻合术治疗与胃后壁接触的胰腺假性囊肿的患者的临床结局。方法：我们对英国诺里奇（Norwich）所有接受了吻合式腹腔镜膀胱造瘘术的患者进行了病例回顾。在所有情况下，均使用血管ETS吻合装置通过前胃切除术进行膀胱胃造口术。结果：15例患者已进行了缝合的腹腔镜膀胱造瘘术。该过程成功完成了12例患者的治疗。出于技术原因，将三种程序转换为开放手术。没有因膀胱造瘘术出血而引起的并发症。早期并发症包括系统性脓毒症（一），胃溃疡出血（一）和由于膀胱胃造口术部分闭合而造成的假性囊肿复发（二）。在中位随访37个月后未发现晚期复发或其他并发症。结论：吻合式腹腔镜膀胱造瘘术是一种引流与胃后壁接触的胰腺假性囊肿的安全有效的方法。使用止血吻合装置进行膀胱造瘘术可以减少假性囊壁发生大出血的风险。

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