微创机器人手术对术后肠梗阻及术后胃肠道功能障碍恢复的影响。
Impact of Minimal Invasive Robotic Surgery on Recovery From Postoperative Ileus and Postoperative Gastrointestinal Tract Dysfunction.
作者信息
Mazzotta Elvio, Villalobos-Hernandez Egina Chriseida, Harzman Alan, Christofi Fievos L
机构信息
Department of Anesthesiology, The Ohio State University, USA.
出版信息
Am J Biomed Sci Res. 2020;8(6):535-538. doi: 10.34297/ajbsr.2020.08.001335. Epub 2020 May 19.
Abstract
Postoperative gastrointestinal tract (GIT) dysfunction (POGD) and postoperative ileus (POI) are common symptoms resulting from small or large bowel surgery associated with extended hospitalizations, increase risk of infections and billions of dollars in health care costs. Open surgery is associated with higher gut surgical trauma / manipulation and worse outcomes compared to minimal invasive surgery. Robotic Surgery may offer added benefit to Colon Enhanced Recovery After Surgery (CERAS) protocols but do not solve the problem. Ultimately, a better understanding of the pathogenic mechanisms of POI and POGD can lead to prophylaxis and enhanced recovery after surgery. The impact of High Pressure Pneumoperitoneum and gut surgical manipulation on GIT dysfunction deserve further investigation.
摘要
术后胃肠道（GIT）功能障碍（POGD）和术后肠梗阻（POI）是小肠或大肠手术后常见的症状，与住院时间延长、感染风险增加以及数十亿美元的医疗费用相关。与微创手术相比，开放手术会导致更高的肠道手术创伤/操作，且预后更差。机器人手术可能会给结肠术后加速康复（CERAS）方案带来额外益处，但并不能解决问题。最终，更好地了解POI和POGD的致病机制有助于预防和促进术后康复。高压气腹和肠道手术操作对胃肠道功能障碍的影响值得进一步研究。
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