دورية أكاديمية
Safety and efficacy of stoma site selection in CT-guided percutaneous gastrostomy: a retrospective analysis
العنوان: | Safety and efficacy of stoma site selection in CT-guided percutaneous gastrostomy: a retrospective analysis |
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المؤلفون: | Hu Chang-ming, Qi Xiao-mei, Liu Li, Liang Qing-Hua, Xiong Jun-ru, Li Liang-shan, Deng Liang-yu, Huang Xue-quan, He Chuang |
المصدر: | World Journal of Surgical Oncology, Vol 22, Iss 1, Pp 1-8 (2024) |
بيانات النشر: | BMC, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Surgery LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: | Gastrostomy, CT-guided, Intercostal, Rectus abdominis, Surgery, RD1-811, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: | Abstract Purpose To compare the safety and efficacy of CPG in the rectus abdominis and intercostal regions. Materials and methods This retrospective study included 226 patients who underwent CPG at a single center, with the stoma placed in the rectus abdominis or intercostal region. Surgical outcomes and complications, such as pain and infection within 6 months postoperatively, were recorded. Results The surgical success rate was 100%, and the all-cause mortality rate within 1 month was 0%. An intercostal stoma was placed in 56 patients; a rectus abdominis stoma was placed in 170 patients. The duration of surgery was longer for intercostal stoma placement (37.66 ± 14.63 min) than for rectus abdominis stoma placement (30.26 ± 12.40 min) (P = 0.000). At 1 month postsurgery, the rate of stoma infection was greater in the intercostal group (32.1%) than in the rectus abdominis group (20.6%), but the difference was not significant (P = 0.077). No significant difference was observed in the infection rate between the two groups at 3 or 6 months postsurgery (P > 0.05). Intercostal stoma patients reported higher pain scores during the perioperative period and at 1 month postsurgery (P = 0.000), but pain scores were similar between the two groups at 3 and 6 months postsurgery. The perioperative complication rates for intercostal and rectus abdominis surgery were 1.8% and 5.3%, respectively (P = 0.464), with no significant difference in the incidence of tube dislodgement (P = 0.514). Patient weight improved significantly at 3 and 6 months postoperatively compared to preoperatively (P |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1477-7819 |
Relation: | https://doaj.org/toc/1477-7819 |
DOI: | 10.1186/s12957-024-03323-7 |
URL الوصول: | https://doaj.org/article/0fcf4d8a9d1d460ea00a8c8b889fbef3 |
رقم الأكسشن: | edsdoj.0fcf4d8a9d1d460ea00a8c8b889fbef3 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 14777819 |
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DOI: | 10.1186/s12957-024-03323-7 |