CAJ | 학술논문

目的评估经皮内镜下胃造瘘(PEG)法胃壁穿透术在经自然腔道内镜手术(NOTES)中应用的可行性及安全性.方法总结和对比38只实验犬经胃壁入路NOTES(20只行PEG法胃壁穿透术,18只行针刀法胃壁穿透术),在胃壁穿透成功率、术中并发症、操作耗时方面的差异.结果 38例次NOTES胃壁入路穿透手术均获成功.PEG法胃壁穿透组实验犬术中无明显出血及周围脏器损伤等并发症,而针刀法胃壁穿透组并发1例胃壁切口大出血、3例损伤临近脏器(0％与22％,P＜0.05),但PEG法胃壁穿透组操作耗时(15.0±3.7)min,比针刀法胃壁穿透组耗时(6.0±1.1)min长.结论 PEG法胃壁穿透术在NOTES操作中是安全、有效的,值得推广应用.
목적 평고경피내경하위조루(PEG)법위벽천투술재경자연강도내경수술(NOTES)중응용적가행성급안전성.방법 총결화대비38지실험견경위벽입로NOTES(20지행PEG법위벽천투술,18지행침도법위벽천투술),재위벽천투성공솔、술중병발증、조작모시방면적차이.결과 38례차NOTES위벽입로천투수술균획성공.PEG법위벽천투조실험견술중무명현출혈급주위장기손상등병발증,이침도법위벽천투조병발1례위벽절구대출혈、3례손상림근장기(0％여22％,P＜0.05),단PEG법위벽천투조조작모시(15.0±3.7)min,비침도법위벽천투조모시(6.0±1.1)min장.결론 PEG법위벽천투술재NOTES조작중시안전、유효적,치득추엄응용.
Objective To evaluate the feaibility and safety of gastrotomy in natural orifice transluminal endoscopic surgery(NOTES)using technique of percutaneous endoscopic gastostomy(PEG).Methods To retrospectively investigate and compare the success rate,complications and procedure time of gastrotomy in NOTES of dogs between PEG-like approach(PEG group,n =20)and needle knife incision(needle knife group,n =18).Results Gastrotomy was successfully performed in all animals.No mass bleeding or organ injury was observed in PEG group,while one dog in needle knife group encountered mass bleeding,and injuries to the adjacent organs were found in 3 others(0％ in PEG group vs.22％ in needle knife group,P ＜ 0.05).The procedure time of gastrotomy in PEG group was longer than that of needle knife group (15.0±3.7 min vs.6.0 ± 1.1 min,P ＜0.05).Conclusion Compared with the techniqued of needle knife incision,gastrotomy using PEG-like approach in NOTES is safe and feasible.