胆囊穿孔与状沟通的胆囊穿孔
Alejandro Quiroga-Garza1,2, Neri Alejandro Alvarez-Villalobos3,4, Milton Alberto Muñoz-Leija1,5
1Human Anatomy Department, Universidad Autonoma de Nuevo Leon, School of Medicine, Monterrey 64460, Nuevo Leon, Mexico.
胆囊穿孔 (GBP) 的管理与的沟通是有争议的. 开放胆囊切除术 (OC) 和腹腔镜胆囊切除术 (LC) 都是适合GBP的手术选择,结果没有显著差异.
科学领域:
- 外科胃肠道外科手术
- 腹部外科手术 腹部外科手术
- 肝胆道手术 肝胆道手术
背景情况:
- 胆囊穿孔 (GBP) 具有的沟通,特别是Neimeier I型,提出了管理挑战.
- 这种情况的最佳手术方法在临床实践中仍然是争议的主题.
研究的目的:
- 推基于证据的胆囊穿孔 (GBP) 管理策略,并进行有的沟通.
- 为了比较不同类型的手术干预的疗效和结果,对尼迈尔型I英.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 通过在Scopus,Web of Science,MEDLINE和EMBASE数据库中进行全面搜索来确定研究.
- 提取了患者人口统计,干预,住院时间,并发症和管位置的数据.
主要成果:
- 分析了54名Neimeier型I GBP患者,腹壁囊是最常见的.
- 开放胆囊切除术 (OC) 和腹腔镜胆囊切除术 (LC) 在病例报告/病例系列中显示出相似的并发症率.
- OC与更长的住院时间有关 (平均为26.3天而不是6.6天),而死亡率数据有限.
结论:
- 开放胆囊切除术 (OC) 和腹腔镜胆囊切除术 (LC) 都是治疗胆囊穿孔 (GBP) 的可行的手术选择.
- 外科医生应该权衡每个治疗方法的具体优缺点.
- 在Neimeier Type I GBP的整体管理中,OC和LC之间没有发现显著差异.
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