在急性复杂尾炎中 laparoscopic 尾切除术的术后结果:单一中心研究研究
Anurag Surabhi1, Aparna Behura2, Chinmay R Behera1
1Department of Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Cureus
|June 12, 2023
概括
腹腔镜尾切除术是复杂尾炎的安全选择,显示可接受的并发症率. 这种最少的侵入性方法提供了一个可行的替代方案来管理这种手术紧急情况,手术时间因患者年龄和疾病严重程度而异.
科学领域:
- 最少的侵入性手术是最少的侵入性手术.
- 胃肠道手术 胃肠道手术
- 手术成果研究的研究结果.
背景情况:
- 急性尾炎 (AA) 是一个常见的手术紧急情况.
- 复杂的AA涉及疹或穿孔,可能导致腹或腹膜炎.
- 对复杂的AA进行 laparoscopic 手术是可行的,但由于技术挑战,并没有被普遍采用.
研究的目的:
- 在复杂的尾炎中评估腹腔镜尾切除术中初级和二级结局的预测因素.
- 评估腹腔镜方法在治疗复杂尾炎的可行性和安全性.
主要方法:
- 一项前性观察性研究包括87名患有复杂急性尾炎的患者.
- 监测了临床人口统计数据,手术时间,术后疼痛和住院时间.
- 对不同年龄组 (<20,20-39,>40岁) 的结果进行了分析.
主要成果:
- 复杂的尾炎在42岁以上的个体中更为普遍.
- 在所有87名患者中进行了腹腔镜尾切除术.
- 平均手术时间为87.9分钟,平均术后疼痛评分为3.9分,住院时间为6.7天.
- 观察到的并发症包括排水部位感染 (1.14%),皮内囊 (2%) 和腹内 (7%).
结论:
- 腹腔镜尾切除术是复杂尾炎的可行治疗方法,并可接受的并发症率.
- 腹腔镜尾切除术的手术时间从84到94分钟不等,取决于年龄和疾病程度.
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