UNASSIGNED: A retrospective database analysis was performed in patients who underwent laparoscopic (n = 20) and open (n = 21) FJ as a stand-alone procedure from July 2018 to July 2022. A readily available nasogastric tube (Ryles tube) and routine laparoscopic instruments were used to perform laparoscopic FJ. Perioperative data and postoperative outcomes were analyzed.
UNASSIGNED: Baseline preoperative variables were comparable in both groups. The median operative duration in the laparoscopic FJ group was 180 minutes vs. 60 minutes in the open FJ group (p = 0.01). Postoperative length of hospital stay was 3 days vs. 4 days in the laparoscopic and open FJ groups, respectively (p = 0.08). Four patients in the open FJ group suffered from an immediate postoperative complication (none in the laparoscopic FJ group). After a median follow-up of 10 months, fewer patients in the laparoscopic FJ group had complications such as tube clogging, tube dislodgement, surgical-site infection, and small bowel obstruction.
UNASSIGNED: Laparoscopic FJ with the Witzel technique is a safe and feasible procedure with a comparable outcome to the open technique. Patient selection is vital to overcome the initial learning curve.
UNASSIGNED:对2018年7月至2022年7月接受腹腔镜(n=20)和开放(n=21)FJ作为独立手术的患者进行了回顾性数据库分析。使用现成的鼻胃管(Ryles管)和常规腹腔镜器械进行腹腔镜FJ。分析围手术期资料和术后结果。
UNASSIGNED:两组的基线术前变量具有可比性。腹腔镜FJ组的中位手术时间为180分钟。开放FJ组60分钟(p=0.01)。术后住院时间为3天vs.腹腔镜和开腹FJ组4天,分别(p=0.08)。开放FJ组中的四名患者立即发生术后并发症(腹腔镜FJ组中没有)。经过10个月的中位随访,腹腔镜FJ组患者较少出现并发症,如导管堵塞,管移位,手术部位感染,和小肠梗阻.
UNASSIGNED:采用Witzel技术的腹腔镜FJ是一种安全可行的手术,其结果与开放技术相当。患者的选择对于克服最初的学习曲线至关重要。