儿科内肠置术的 laparoscopic 与开放手术后的结果:使用日本国家住院患者数据库进行分析
Naohiro Takamoto1, Takaaki Konishi2, Michimasa Fujiogi3
1Department of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Journal of pediatric surgery
|July 28, 2023
概括
儿科内肠接的 laparoscopic 手术显示类似的结果开放的手术,包括发病率和复发率. 这项大型研究证实腹腔镜手术是一种安全和可接受的选择,用于治疗患有腹腔内的儿童.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 儿科内肠接是一种常见的外科紧急情况.
- 腹腔镜手术越来越多地用于输入接,但与开放手术相比,其结果需要澄清.
研究的目的:
- 为了比较短期的外科手术结果和腹腔镜外科手术和儿科腹腔镜外科手术之间的复发率.
主要方法:
- 日本全国性住院患者数据库的回顾性分析 (2016年4月至2021年3月).
- 包括18岁以下的患者,他们接受了腹腔镜 (n=192) 或开放式 (n=416) 手术.
- 倾向性得分重叠权重分析被用于比较结果.
主要成果:
- 在腹腔镜外科和开放外科之间,在住院发病率,再手术或再入院率方面没有发现显著差异.
- 肠切除,梅克尔的分泌器诊断,麻醉的持续时间,住院时间和成本也相似.
- 腹腔镜组有较少的先天性形和紧急住院.
结论:
- 腹腔镜手术是一种安全有效的替代方案,用于开放手术的小儿内.
- 在这个庞大的全国性队列中,没有观察到关键结果的显著差异.
- 腹腔镜手术是一种可接受的治疗选择,用于儿科内.
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