开放式对拉皮镜尾切除术:对东部尾炎MUSTANG研究进行后期分析
Lauren Thompson1,2,3, Brianna L Cohen1,2, Tizeta Wolde1
1DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Surgical infections
|August 30, 2023
概括
一般化腹膜炎,被归类为美国创伤外科协会 (AAST) 紧急整形外科 (EGS) 5级,是独立与尾炎的开放尾切除相关的主要因素.
科学领域:
- 手术成果研究的研究结果.
- 紧急的一般外科手术.
- 附录是管理的管理.
背景情况:
- 开放的尾切除术是一种常见的尾炎手术方法.
- 影响腹腔镜和开放尾切除术之间的选择因素需要进一步调查.
研究的目的:
- 确定与开放尾切除术相关的因素,作为尾炎的最终手术方法.
- 测试一个假设,更高的美国创伤外科协会 (AAST) 紧急整形外科 (EGS) 等级与开放尾切除相关.
主要方法:
- 美国东部创伤外科协会 (EAST) 多中心研究美国尾炎治疗的后期分析:急性,穿孔和瘤 (MUSTANG) 数据库.
- 通过最终的手术方法对成年患者进行分层 (腹腔镜 vs 开放式,包括转换).
- 单变量和多变量逻辑回归分析以确定相关因素.
主要成果:
- 分析了3019例病例;5.8%接受了开放尾切除术.
- 开放性尾切除术患者有更多的并发症,症状持续时间更长,AAST EGS等级更高.
- AAST临床第5级尾炎 (一般化腹膜炎) 与开放尾切除术独立相关 (OR,5.63;p=0.025).
结论:
- 一般化腹膜炎 (AAST临床5级) 是开放尾切除术的重要独立预测因子.
- 这一发现有助于理解复杂尾炎病例的手术决策.
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