Clinical research of transgastric approach transluminal endoscopic surgery in diagnosing unexplained ascites
10.3969/j.issn.1671-8348.2017.12.011
- VernacularTitle:NOTES经胃入路诊断不明原因腹水的临床研究
- Author:
Jing TANG
;
Dan YANG
;
Tao WU
;
Wenyong SHEN
;
Danping LU
;
Sha WEI
;
Yan XUE
;
Meihua YANG
;
Aimin LIU
- Keywords:
natural orifice transluminal endoscopic surgery;
transgastric;
peritoneal biopsy;
ascites
- From:
Chongqing Medicine
2017;46(12):1619-1620,1623
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of transgastric natural orifice transluminal endoscopic surgery(NOTES)in diagnosing unexplained ascites.Methods The clinical data in 12 cases of unexplained ascites diagnosed by adopting transgastric approach NOTES and performed abdominal exploration and peritoneal biopsy in our hospital from November 2015 to July 2016 were retrospectively analyzed.The operative risk and clinical application value were evaluated by statistically analyzing the postoperative complications occurrence and the diagnosis rate of disease.Results The definite diagnosis rate reached 100％ verified by pathology after abdominal exploration and peritoneal biopsy,in which 8 cases(66.7％)were tuberculous peritonitis,2 cases(16.7％)were liver cirrhosis,1 case(8.3％)was peritoneal mesothelioma,1 cases(8.3％)was peritoneal metastatic carcinoma;2 cases appeared abdominal pain after operation,including 1 case of neutrophil ratio increase,symptoms and persistent time of abnormal laboratory indexes did not exceed 24 h,the incidence rate was 8.3％;no complications of abdominal cavity infection,incision bleeding and puncture site fistula occurred.Conclusion The transgastric NOTES for conducting abdominal exploration and peritoneal biopsy in the diagnosis of unexplained ascites has the advantages of small trauma,less complications and rapid postoperative recovery,possesses an important clinical application value.
