腹腔镜尾切除术与急性尾炎的开放尾切除术相比
Yugal Jyoty Nepal1, Sanjaya Paudyal1, Surendra Shah1
1Department of Surgery, Patan Academy of Health Sciences, Lagenkhel Lalitpur, Nepal.
Journal of Nepal Health Research Council
|July 25, 2023
概括
腹腔镜尾切除术 (LA) 比开放尾切除术 (OA) 更昂贵,恢复时间更长. 患者的偏好应指导这些急性尾炎治疗方法之间的选择.
科学领域:
- 一般外科 整体外科
- 最少侵入性的手术
- 急性护理手术急性护理手术
背景情况:
- 尾切除术是最常见的紧急手术.
- 开放式和腹腔镜尾切除术都用于急性尾炎.
- 最佳的外科手术方法仍在争论中.
研究的目的:
- 为了比较腹腔镜和急性尾炎的开放尾切除术的结果.
- 评估手术时间,疼痛,住院时间,并发症和成本.
- 提供数据,以告知外科决策.
主要方法:
- 对52名患者进行前性比较研究.
- 在腹腔镜尾切除组中有26名患者.
- 在开放尾切除组中,有26名患者.
- 评估结果:手术时间,术后疼痛,住院时间,并发症和成本.
主要成果:
- 腹腔镜尾切除术显示术后恢复时间显著延长 (30分钟对20分钟,p<0.01).
- laparoscopic 尾切除术是显著更昂贵的 (Nrs. 26295与Nrs.的对比 19575,p<0.01) 的情况.
- 两组之间在手术时间,疼痛或并发症方面没有显著差异.
结论:
- 与开放尾切除术相比, laparoscopic尾切除术导致更长的恢复和更高的成本.
- 腹腔镜和开放尾切除术之间的选择可能取决于患者的偏好.
- 进一步的研究可能会探索长期的结果和患者的满意度.
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