咽囊：采用哪种技术？
Pharyngeal pouch: which technique?
作者信息
Veivers D
机构信息
Department of Otolaryngology,Head and Neck Surgery,Royal North Shore Hospital,Sydney,and Discipline of Surgery,University of Sydney,New South Wales,Australia.
出版信息
J Laryngol Otol. 2015 Jul;129 Suppl 3:S30-4. doi: 10.1017/S0022215115000419. Epub 2015 Feb 25.
BACKGROUND
Pharyngeal pouches have been recognised as a cause of dysphagia for centuries and have been treated in a variety of ways over that time.
OBJECTIVE
This article aimed to analyse the results of surgery by a variety of techniques, as performed by one surgeon.
METHOD
A retrospective analysis of a case series was conducted, analysing the variables of patient age, sex, type of surgery, length of hospital stay, leak, recurrence and other complications.
RESULTS
A total of 121 patients were treated by 135 operations. There were no leaks in the group treated by endoscopic stapling and this group also had a significantly shorter hospital stay. As for recurrence, the lowest rate appeared to be in the group treated by excision of the pouch.
CONCLUSION
The techniques used by the author all still seem to have a role in the management of pharyngeal pouch, with the endoscopic stapling approach associated with a low rate of complications and short hospital stay.
背景
几个世纪以来，咽囊一直被认为是吞咽困难的一个原因，并且在这段时间里已经采用了多种治疗方法。
目的
本文旨在分析由一位外科医生采用多种技术进行手术的结果。
方法
对一系列病例进行回顾性分析，分析患者年龄、性别、手术类型、住院时间、渗漏、复发及其他并发症等变量。
结果
共对121例患者进行了135次手术。内镜吻合器治疗组无渗漏发生，且该组住院时间明显较短。至于复发，最低发生率似乎出现在咽囊切除术治疗组。
结论
作者所采用的技术在咽囊的治疗中似乎仍都有作用，内镜吻合器治疗方法并发症发生率低且住院时间短。
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