未经批准:作为末端造口,Santulli肠造口术可在没有正式剖腹手术的情况下早期恢复肠道连续性。共同肢体的短截肢可以在一侧闭合以恢复解剖连续性,而不会牺牲宝贵的肠;此外,该程序简单安全。大多数需要肠造口术的新生儿可能会从Santulli肠造口术中受益;然而,一些儿科外科医生缺乏有关此手术的信息.因此,我们回顾了Santulli肠造口术的经验,并探讨了其在新生儿肠道疾病中的优势和适应证。
UNASSIGNED:获得了76例接受肠造口术的新生儿的临床资料。将患者分为两组:Santulli组33例接受了Santulli肠造口术,对照组43例,行双腔或单腔造口术。分析两组患者的一般资料,围手术期/术后并发症,比较了临床数据和长期结局.
未经评估:人口统计信息没有差异,肠造口的水平,高视力造口的发生率,比较两组的手术时间和肠造口出血量。与对照组相比,Santulli组造口术闭合的手术时间较少(53.00vs.152.47,P<0.001)。肠外营养的持续时间(27.45vs.44.56,P=0.010),初始肠造口到造口闭合的平均间隔时间(131.21vs.216.42,P<0.001),和停留时间(46.00vs.67.60,P=0.007)较短,而术后并发症发生率和住院费用(11.21vs.15.49,P=0.006)较低。Santulli手术可以降低高输出造口术的发病率(2与10,P=0.042)和短肠综合征(3vs.132,P=0.025),缩短近端和远端之间的直径差异,最大化可用的肠道,并监测远端肠的运动。切口长度较短,桑图利集团的追赶增长明显更快。
UNASSIGNED:Santulli肠造口术是治疗新生儿肠道疾病的优越方法,在减少并发症方面,更快的追赶增长,更短的住院时间和治疗持续时间。这应该是一些需要造口术的肠道疾病新生儿的选择程序。
UNASSIGNED: As an end stoma, Santulli enterostomy provides early restoration of intestinal continuity without formal laparotomy. Short amputation of the common limb enables closure on a side to restore anatomic continuity without sacrificing valuable intestine; additionally, the procedure is simple and safe. Most newborns who require enterostomy might benefit from Santulli enterostomy; however, several pediatric surgeons lack information regarding this procedure. Therefore, we have reviewed our experience about Santulli enterostomy and explore the advantages and indications in neonatal intestinal conditions.
UNASSIGNED: The clinical data of 76 neonates who underwent enterostomywere obtained. The patients were divided into two groups: the Santulli group with 33 cases who underwent Santulli enterostomy, and the control group with 43 cases who underwent double- or single-lumen ostomy. The general data of the two groups were analyzed, and the perioperative/postoperative complications, clinical data and the long-term outcomes were compared.
UNASSIGNED: There was no difference in the demographic informations, the level of enterostomy, the rate of high-sight stoma, the operative time and bleeding of enterostomy between the two groups. Compared to the control group, the operative time of ostomy closure was less in the Santulli group (53.00 vs. 152.47, P < 0.001). The duration of parenteral nutrition (27.45 vs. 44.56, P = 0.010), the mean interval of initial enterostomy to stomal closure (131.21 vs. 216.42, P < 0.001), and length of stay (46.00 vs. 67.60, P = 0.007) were shorter, while the incidence of postoperative complications and hospitalization costs (11.21 vs. 15.49, P = 0.006) were lower. The Santulli procedure can reduce the morbidity of high output ostomy (2 vs. 10, P = 0.042) and short bowel syndrome (3 vs. 132, P = 0.025), shorten the discrepancy of diameter between the proximal and distal segments, maximize the available intestine, and monitor the movement of the distal bowel. The length of incision was shorter, and the catch-up growth was significantly faster in the Santulli group.
UNASSIGNED: Santulli enterostomy is a superior procedure in the treatment of neonatal intestinal conditions, in terms of fewer complications, faster catch-up growth, shorter hospitalization time and treatment duration. It should be the procedure of choice in several newborns with intestinal conditions that require ostomy.