Karagül Servet, Kayaalp Cüneyt
Karaciğer Transplantasyon Enstitüsü, Cerrahi Anabilim Dalı, Malatya, Türkiye.
Turk J Surg. 2018 Nov 20;35(1):1-5. doi: 10.5578/turkjsurg.4087. eCollection 2019 Mar.
The aim of the present study was to contribute to the establishment of a standard method of small bowel measurement by comparing repeated small bowel length measurements with and without stretching in healthy individuals.
Small bowel measurement was randomly performed in 24 healthy liver donors. Three repetitive measurements were performed with complete stretching in 12 cases; whereas, 3 consecutive measurements were made without any stretching in the other 12 patients. Living donor hepatectomy continued uneventfully in all cases.
In the non-stretched group, the second measurement was 199 cm shorter than the first measurement (p <0.001). In the third measurement, this shortening had increased further, and the difference from the first measurement was 234 cm on average (p <0.001). In the stretched group, a shortening of approximately 135 cm between the first and second measurements was noted. In the third measurement, an improvement of 4% was observed in contrast to the non-stretched method, with a mean reduction of 105 cm in the small bowel length compared with the first measurement (p <0.001).
Stretching technique can reduce error rate in repeated small bowel measurements.
本研究旨在通过比较健康个体在拉伸和不拉伸情况下重复测量小肠长度，为建立小肠测量的标准方法做出贡献。
对24名健康肝脏供体进行小肠测量。12例在完全拉伸状态下进行3次重复测量；而另外12例患者在不进行任何拉伸的情况下进行3次连续测量。所有病例活体供肝肝切除术均顺利进行。
在未拉伸组中，第二次测量比第一次测量短199厘米（p<0.001）。在第三次测量中，这种缩短进一步增加，与第一次测量的平均差值为234厘米（p<0.001）。在拉伸组中，第一次和第二次测量之间缩短了约135厘米。在第三次测量中，与未拉伸方法相比，观察到有4%的改善，小肠长度与第一次测量相比平均减少了105厘米（p<0.001）。
拉伸技术可降低重复小肠测量中的误差率。
