laparoscopic尾切除术与"无抗生素"策略相结合,用于急性不复杂尾炎
1Department of Gastrointestinal Surgery, The Fifth People's Hospital of Chongqing, Nanan, Chongqing, China.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|September 21, 2023
概括
增强恢复协议 (ERP) 与腹腔镜尾切除术 (LA) 结合,对于没有抗生素的急性无并发性尾炎 (AUA) 是安全有效的. 这种无抗微生物的方法显示了AUA治疗的临床价值.
科学领域:
- 外科胃肠道外科手术
- 最少侵入性的手术
- 传染病管理 传染病管理
背景情况:
- 急性无并发性尾炎 (AUA) 通常用腹腔镜尾切除术 (LA) 治疗.
- 在接受LA治疗的AUA中,术后抗生素的作用受到争论.
- 增强恢复协议 (ERP) 旨在优化手术患者的治疗结果.
研究的目的:
- 评估ERP与LA结合的有效性和安全性,没有AUA的抗生素.
- 在抗生素和无抗生素组之间比较外科手术期间的炎症,压力,并发症率和恢复速度.
主要方法:
- 一项对160名AUA患者进行LA的回顾性研究.
- 患者被分为两组:带有抗生素的ERP (n=80) 和没有抗生素的ERP (n=80).
- 分析了临床数据,包括炎症标志物,压力指标,并发症发生率和恢复速度.
主要成果:
- 两组之间在手术前或手术后的炎症水平或压力状态上没有发现显著差异.
- 在抗生素和无抗生素组中,术后并发症的发生率相似.
- 患者的康复速度在两个治疗臂之间没有显著差异 (P > .05).
结论:
- 增强恢复协议 (ERP) 结合腹腔镜尾切除术 (LA) 是一种安全有效的无抗菌治疗急性无并发性尾炎 (AUA) 的方法.
- 这种方法通过潜在地减少不必要的抗生素暴露,证明了显著的临床价值.
- 进一步的研究可能会支持广泛采用无抗生素的ERP和AUA的LA协议.
更多相关视频
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
512
00:08Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
Published on: August 24, 2019
10.1K
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
91
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...
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...
91
Appendicitis-I: Introduction
212
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...
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...
212
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
106
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...
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...
106
Inflammatory Bowel Disease V: Surgical Management
164
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
164
