摘要
由机器人与机器学习每日新闻-胃肠病学的新研究-的新闻记者兼新闻编辑-她的NIAS是一篇报道的主题。根据NewsRx编辑在瑞士贝林佐纳的新闻报道,研究表明:“食管旁疝的紧急治疗可以通过剖腹手术或微创手术进行,然而,这方面的证据很薄弱。我们的研究目的是评估在紧急情况下机器人辅助治疗食管旁疝的安全性和可行性。”我们的新闻记者从外科获得了一段研究的引文,“在瑞士Bellinzona e Valli地区医院,我们对2020年1月至1月20日24日手术治疗食管旁疝的患者进行了回顾性分析。影像学和临床细节,手术技术。”82例机器人辅助食管旁疝修补术患者中,17例急诊治疗,平均年龄79岁(IQR 77~85),男性3例(17.6%),平均体重指数23.9kg/m(IQR 21.0~26.0),最常见的症状为Pain(100%),反流(88.2%),无术中并发症(17.6%)。记录转换为开放手术或胃切除术。发生2例Clavien-Dindo C分级为3级的并发症和1例2级的并发症,均成功治疗直到痊愈。中位住院时间为8天(IQR 5-16)。经15.9个月(IQR 6.5-25.6)的随访后,仅有2例小的轴向无症状复发,无需治疗。我们的研究表明,术中和术后并发症的发生率非常低,可能支持了在紧急情况下机器人辅助治疗食管旁疝的安全性和可行性。
Abstract
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News – New research on Gastroenterology - Her nias is the subject of a report. According to news reporting out of Bellinzona, Switzerland, by NewsRx editors, research stated, “Emergency treatment of paraeso phageal hernias can be carried out through laparotomy or minimally invasive appr oaches, however, evidence in this regard is weak. The aim of our study was to as sess safety and feasibility of the robotic-assisted treatment of paraesophageal hernias in the emergency setting.” Our news journalists obtained a quote from the research from the Department of S urgery, “At the Bellinzona e Valli Regional Hospital, Switzerland, we conducted a retrospective analysis of patients operated on from January 2020 to January 20 24 with robotic surgery for emergency presentation of paraesophageal hernias. De mographic and clinical details, operative techniques, and postoperative outcomes were collected and analyzed. Out of 82 patients who underwent robotic-assisted paraesophageal hernia repair, 17 were treated in the emergency setting. Median a ge was 79 years (IQR 77-85), 3 (17.6%) patients were male, and medi an BMI was 23.9 kg/m (IQR 21.0-26.0). Most frequent presentation symptoms were p ain (100 %), regurgitation (88.2%), and dyspnea (17.6% ). No intraoperative complication, conversion to open surgery or stomach resecti ons were recorded. Two complications of grade 3 according to the Clavien- Dindo c lassification and one of grade 2 occurred; all were successfully treated until r esolution. The median length of hospital stay was 8 days (IQR 5-16). After a mea n follow-up of 15.9 months (IQR 6.5-25.6) only two small axial asymptomatic recu rrences that required no treatment. Despite limitations, our study demonstrated a very low rate of intra- and postoperative complications, likely supporting the safety and feasibility of robotic-assisted treatment for paraesophageal hernias in emergency settings.”