带左心室辅助装置患者行腹腔镜结直肠手术的可行性和安全性。
Feasibility and safety of laparoscopic colorectal surgeries for patients with left ventricular assist device.
机构信息
Department of Colorectal Surgery, Grenoble Alps University Hospital, 38000, Grenoble, France.
University Grenoble Alpes, CNRS, Grenoble INP, TIMC-IMAG, 38000, Grenoble, France.
出版信息
Int J Colorectal Dis. 2019 Nov;34(11):1979-1982. doi: 10.1007/s00384-019-03384-1. Epub 2019 Sep 13.
PURPOSE
There is limited literature regarding the feasibility and safety of laparoscopic procedures in patients having mechanical circulatory support, especially colonic resections.
METHODS
The aim of this study is to present the case of a laparoscopic colectomy for cancer undergone in a 69-year-old patient having a HeartWare II at our institution without any postoperative major complications and to describe the perioperative management and outcome of these patients according to the literature, regarding the hemodynamic, hemorrhagic, and infectious risks and the safety of this procedure.
RESULTS
There was no 90-day postoperative morbidity or death. A total of six patients including ours were identified in the study. This study has a limited number of patients and relatively short follow-up time.
CONCLUSION
Even though the management of patients having a LVAD is challenging and needs a multidisciplinary approach, reported literatures have shown the safety and feasibility of laparoscopic interventions for colorectal surgeries.
目的
关于机械循环辅助患者（尤其是合并结直肠切除术患者）行腹腔镜手术的可行性和安全性，目前文献报道较少。
方法
本研究旨在报告 1 例在我院接受心脏辅助装置（HeartWare II）治疗的 69 岁机械循环辅助患者行腹腔镜结肠癌切除术的病例，并根据文献描述此类患者的围手术期管理和结局，包括血流动力学、出血和感染风险，以及该手术的安全性。
结果
术后 90 天内无严重并发症或死亡。本研究共纳入 6 例患者，包括我们的病例。本研究的患者数量有限，随访时间相对较短。
结论
尽管 LVAD 患者的管理具有挑战性，需要多学科方法，但现有文献表明腹腔镜干预结直肠手术是安全可行的。
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