Strasberg的批判观点:安全的腹腔镜胆囊切除术策略。

Eduardo E Montalvo-Javé, Ericka H Contreras-Flores, Edwin A Ayala-Moreno, Miguel A Mercado
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引用次数: 1

摘要

背景:每年,世界范围内都会举办患者安全庆祝活动;据记录,每年约有260万人死于在就医期间本可避免的事件,因此,据估计,约15%的医院费用可归因于导致患者安全的治疗。作为其在医学外科领域传播的重要组成部分,我们提出以下文章,涉及胆管安全的关键愿景,由Steven Strasberg博士最初推广和发表,旨在减少腹腔镜胆囊切除术期间并发症的数量。材料和方法:在PubMed, Medline, Clinical Key和Index Medicus中进行文献检索。2020年5月至2021年7月,以西班牙语和英语授课。结论:Strasberg的批评观点是一种建议的策略,可以将腹腔镜胆囊手术的风险降至零。它包括获得一个平面,在这个平面上外科医生可以看到构成胆管的解剖结构,以及胆管的冲洗和引流。能够清楚地观察这些结构,使外科医生能够自由安全地切割,以避免胆管损伤,这在手术中并不罕见。如何引用本文:montalvo - jav EE, Contreras-Flores EH, Ayala-Moreno EA等。Strasberg的批判观点:安全的腹腔镜胆囊切除术策略。中华肝病与胃肠病杂志;2010;12(1):40-44。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Strasberg's Critical View: Strategy for a Safe Laparoscopic Cholecystectomy.

Background: Every year, worldwide, the celebration for patient safety is carried out; since about 2.6 million people are documented who die each year from events that can potentially be avoided during their medical care, it is even estimated that around 15% of hospital costs can be attributed to treatment resulting in patient safety. As an important part of its dissemination in the medical-surgical community, we present the following article in relation to the critical vision of safety in the bile duct, promoted and published initially by Dr Steven Strasberg, which aims to reduce the number of complications during laparoscopic cholecystectomies.

Materials and methods: A bibliographic search was carried out in PubMed, Medline, Clinical Key, and Index Medicus. From May 2020 to July 2021 in Spanish and English with the following.

Conclusions: Strasberg's critical view is a proposed strategy to minimize the risk to zero during laparoscopic gallbladder surgery. It consists of obtaining a plane in which the surgeon can visualize the anatomical structures that make up the bile duct, as well as its irrigation and drainage. Being able to clearly observe these structures allows the surgeon to cut freely and safely to avoid bile duct injuries which are not so uncommon during this procedure.

How to cite this article: Montalvo-Javé EE, Contreras-Flores EH, Ayala-Moreno EA, et al. Strasberg's Critical View: Strategy for a Safe Laparoscopic Cholecystectomy. Euroasian J Hepato-Gastroenterol 2022;12(1):40-44.

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