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基于腹腔镜手术的急性尾炎的治疗策略

Masahiro Shiihara¹, Yasuhiro Sudo², Norimasa Matsushita²

¹Department of Surgery, Kamifukuoka General Hospital, 931 Fukuoka Fujimino-Shi, Saitama, 356-0011, Japan. shiihara.masahiro_1@twmu.ac.jp.

|June 13, 2023

概括

腹腔镜手术对急性尾炎有效,包括复杂的病例. 早期的手术决定对于复杂尾炎的成功腹腔镜治疗至关重要.

科学领域:

胃肠病学胃肠病学
手术创新在外科创新.
紧急医疗紧急医疗

背景情况:

急性尾炎的治疗策略各不相同.
laparoscopic手术是常见的,但其在复杂的尾炎的使用仍然有争议.
保守的抗生素治疗和间隔尾切除术是另一种方法.

研究的目的:

评估所有尾炎病例的腹腔镜手术治疗策略,包括复杂尾炎 (CA).
评估腹腔镜手术在无并发性尾炎和并发性尾炎中的可行性和结果.

主要方法:

从2013年1月至2021年12月,对305名急性尾炎患者进行了回顾性分析.
根据CT扫描,将其分类为无并发性尾炎 (UA) 和CA.
在UA和CA组之间比较治疗过程和结果.

主要成果:

在159例外科手术中,153例进行了腹腔镜手术,完成率为94.8%.
在成功的紧急腹腔镜手术之间,术后并发症没有显著差异.
对于复杂的尾炎,延迟手术 (从发病≥6天) 是转换为开放性腹腔切除术的独立风险因素 (OR:11.80).

结论:

腹腔镜手术是所有尾炎病例的可行和首选方法,包括复杂的尾炎.
迅速的手术干预对于成功的腹腔镜治疗复杂尾炎至关重要.
延迟呈现增加了复杂尾炎转换为开放手术的风险.

关键词:

附录是指一个附录.复杂的尾炎是一个复杂的疾病.腹腔镜检查 (Laparoscopy) 是一个非常好的方法.没有并发症的尾炎.

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