腹腔镜尾切除术:在患有泛性和晚期泛性周周炎病例的儿童中有效性
Osman Uzunlu1, İncinur Genişol1
1Department of Pediatric Surgery, Pamukkale University Faculty of Medicine, Denizli, Türkiye.
Turkish journal of surgery
|June 5, 2023
概括
laparoscopic尾切除术是有效的小儿尾炎,即使在先进的一般化周周炎. 这种最少的侵入性方法显示了作为复杂病例的首要治疗选择的希望.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 尾炎在儿童中很常见,腹腔镜尾切除术是标准的治疗方法.
- 先进的泛性腹膜炎在儿科尾炎管理中提出了独特的挑战.
研究的目的:
- 为了评估腹腔镜尾切除术在患有晚期泛周炎的儿科患者的疗效.
- 为了比较不复杂,复杂和先进的一般化腹膜炎病例之间的结果.
主要方法:
- 55例儿科腹腔镜尾切除病例的回顾性审查.
- 将病例分为不复杂的,复杂的和高级的一般化腹膜炎组.
- 分析实验室结果,手术技术和并发症.
主要成果:
- 在55名儿童 (31名女性,24名男性) 进行了腹腔镜尾切除术.
- 36%的病例没有并发症,而64%的病例是复杂的,其中9例是晚期泛性腹膜炎.
- 没有发生手术内或早期术后并发症;7%的人经历了后来的感染. 复杂和晚期腹膜炎病例的平均住院时间较长.
结论:
- 腹腔镜尾切除术是一种可行的和安全的治疗儿科尾炎,即使在先进的一般化腹膜炎的情况下.
- 该手术表现出了良好的结果,并出现了最小的直接并发症,这表明其作为一线选择的潜力.
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