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直肠手术后吻合口漏的腔内真空治疗。

Endoluminal vacuum therapy for anastomotic leaks after rectal surgery.

机构信息

Digestive, Colorectal and Minimal Invasive Surgery, University of Turin, Turin, Italy.

出版信息

Tech Coloproctol. 2010 Sep;14(3):279-81. doi: 10.1007/s10151-010-0569-0. Epub 2010 Mar 30.

DOI:10.1007/s10151-010-0569-0
PMID:20352276
Abstract

Anastomotic leakage after rectal surgery is a very serious complication and is the main cause of postoperative morbidity and mortality. We describe three cases of rectal leakage which we treated with endoscopic vacuum-assisted closure. We used the Endo-SPONGE (B. Braun Aesculap AG, Germany), which consists of an open-cell, cylindrical polyurethane sponge connected to a drainage tube which is linked to a vacuum system to exert constant suction. The possible role of this new tool in the management of anastomotic leaks is also discussed.

摘要

直肠手术后吻合口漏是一种非常严重的并发症,是术后发病率和死亡率的主要原因。我们描述了三例经内镜真空辅助闭合治疗的直肠漏。我们使用了 Endo-SPONGE(B. Braun Aesculap AG,德国),它由一个多孔圆柱形的聚氨酯海绵连接到一个引流管,引流管与一个真空系统相连,以施加持续的吸力。还讨论了这个新工具在吻合口漏管理中的可能作用。

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Endoluminal vacuum therapy for anastomotic leaks after rectal surgery.直肠手术后吻合口漏的腔内真空治疗。
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本文引用的文献

1
Vacuum assisted closure in coloproctology.肠外科学中的真空辅助闭合。
Tech Coloproctol. 2009 Dec;13(4):261-3. doi: 10.1007/s10151-009-0543-x. Epub 2009 Nov 12.
2
Chronic pelvic abscedation after completion proctectomy in an irradiated pelvis: another indication for ENDO-sponge treatment?放疗后直肠切除术后慢性盆腔脓肿:ENDO-sponge 治疗的另一种适应证?
Tech Coloproctol. 2009 Dec;13(4):311-4. doi: 10.1007/s10151-009-0505-3. Epub 2009 Jul 15.
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Perirectal abscess following procedure for prolapsed haemorrhoids successfully managed with a combination of VAC sponge and Redivac systems.
一种用于太空感染减压的吸收性改进:一种新型引流装置。
Med Devices (Auckl). 2021 Nov 9;14:327-337. doi: 10.2147/MDER.S320723. eCollection 2021.
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The "impossible" rectal anastomosis: a novel use for endoluminal vacuum-assisted therapy.经内镜腔内真空辅助治疗在直肠吻合术中的应用:一种新方法。
Tech Coloproctol. 2021 Jan;25(1):125-130. doi: 10.1007/s10151-020-02363-x. Epub 2020 Nov 20.
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Late rectal anastomotic leakage treated with diode laser FiLaC probe. A case report of a new minimal invasive treatment.采用二极管激光FiLaC探头治疗晚期直肠吻合口漏。一种新型微创治疗的病例报告。
Int J Surg Case Rep. 2020;77S(Suppl):S132-S134. doi: 10.1016/j.ijscr.2020.09.016. Epub 2020 Sep 8.
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Early anastomotic complications in colorectal surgery: a systematic review of techniques for endoscopic salvage.结直肠外科手术中的早期吻合口并发症:内镜挽救技术的系统评价。
Surg Endosc. 2019 Apr;33(4):1049-1065. doi: 10.1007/s00464-019-06670-9. Epub 2019 Jan 23.
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Transanal Drainage of Coloanal Anastomotic Leaks.结直肠吻合口漏的经肛门引流
Case Rep Surg. 2018 Mar 27;2018:9806259. doi: 10.1155/2018/9806259. eCollection 2018.
8
Use of a novel technique to manage gastrointestinal leaks with endoluminal negative pressure: a single institution experience.使用腔内负压治疗胃肠道漏的新技术:单机构经验。
Surg Endosc. 2018 Jul;32(7):3349-3356. doi: 10.1007/s00464-018-6055-x. Epub 2018 Jan 23.
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Double peritoneal fat flap in the treatment of an enterovesical fistula.双腹膜脂肪瓣治疗膀胱肠瘘
Tech Coloproctol. 2018 Jan;22(1):69-70. doi: 10.1007/s10151-017-1736-3. Epub 2017 Dec 18.
10
Endoluminal vacuum therapy for gastrojejunal anastomotic leaks after Roux-en-Y gastric bypass: a pilot study in a swine model.Roux-en-Y胃旁路术后胃空肠吻合口漏的腔内负压治疗:猪模型的初步研究
Surg Endosc. 2016 Nov;30(11):5147-5152. doi: 10.1007/s00464-016-4823-z. Epub 2016 Feb 29.
经痔脱垂治疗术后发生直肠周围脓肿,采用 VAC 海绵和 Redivac 系统联合治疗成功治愈。
Tech Coloproctol. 2009 Dec;13(4):307-9. doi: 10.1007/s10151-009-0503-5.
4
The Dutch multicenter experience of the endo-sponge treatment for anastomotic leakage after colorectal surgery.荷兰关于结直肠手术后吻合口漏的内支架治疗的多中心经验。
Surg Endosc. 2009 Jun;23(6):1379-83. doi: 10.1007/s00464-008-0186-4. Epub 2008 Nov 27.
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Endoluminal vacuum therapy for the treatment of anastomotic leakage after anterior rectal resection.腔内负压疗法治疗直肠前切除术后吻合口漏
Rozhl Chir. 2008 Aug;87(8):397-402.
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Endo-vacuum assisted closure treatment for rectal anastomotic insufficiency.内镜下负压封闭疗法治疗直肠吻合口漏
Dis Colon Rectum. 2008 Apr;51(4):404-10. doi: 10.1007/s10350-007-9141-z. Epub 2008 Jan 15.
7
Vacuum-assisted closure: a new method for wound control and treatment: clinical experience.负压封闭引流术:一种伤口控制与治疗的新方法:临床经验
Ann Plast Surg. 1997 Jun;38(6):563-76; discussion 577.
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Ann Plast Surg. 1997 Jun;38(6):553-62. doi: 10.1097/00000637-199706000-00001.