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相关概念视频

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

100
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
259
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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从腹腔镜切除术转换为开放尾切除术的危险因素

Bruno Leonardo Bancke Laverde1, Matthias Maak1, Melanie Langheinrich2

  • 1Department of General and Visceral Surgery, Friedrich-Alexander-University, Krankenhausstraße 12, 91054 Erlangen, Germany.

Journal of clinical medicine
|July 14, 2023
PubMed
概括

腹腔镜尾切除术是尾炎的标准,但转换为开放手术发生在5.5%的病例中. 术内发现,而不仅仅是炎症标志物,预测需要转换和增加患者的发病率.

关键词:
急性尾炎是什么情况转换转换转换的情况腹腔镜的方法.疾病发病率 疾病发病率 疾病发病率

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科学领域:

  • 手术方面的创新.
  • 胃肠道手术 胃肠道手术
  • 最少侵入性手术是最少侵入性的手术.

背景情况:

  • 腹腔镜尾切除术是急性尾炎的标准手术治疗方法.
  • 转换为开放性手术有时是必要的.
  • 确定转化预测因素对于患者管理至关重要.

研究的目的:

  • 确定与从腹腔镜切除术转换为开放尾切除术相关的风险因素.
  • 分析转化对患者发病率的影响.

主要方法:

  • 对1220名成年患者进行急性尾炎的腹腔镜尾切除术 (2010-2020年) 的回顾性分析.
  • 与转换和没有转换的患者之间的术前,术后和术后数据的比较.
  • 统计分析以确定独立的风险因素和结果.

主要成果:

  • 转换率为5.5%的时间.
  • 转换的独立风险因素包括手术前较高的白细胞 (WBC) 计数,C反应蛋白 (CRP) 水平,以及手术后的发现,如穿孔,瘤,,,腹膜炎.
  • 转换独立地与术后发病率的增加有关.

结论:

  • 腹腔镜尾切除术对于大多数急性尾炎病例来说是安全的和可行的.
  • 手术前的炎症标志物对转化具有有限的预测价值.
  • 术内发现对于决定转换至关重要.
  • 需要转换的患者需要更密切的术后监测,因为并发症风险更高.