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单切割与多端口腹腔镜内切除对于克罗恩病:系统性审查和元分析

Pratik Bhattacharya¹, Mohammad Iqbal Hussain², Shafquat Zaman¹

¹Department of General Surgery, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, West Midlands, United Kingdom.

Journal of minimal access surgery

|October 16, 2023

概括

与多端口腹腔镜相比,单切口腹腔镜手术 (SILS) 提供了更好的手术时间和更短的住院时间,用于克罗恩氏病大眼切除术. 在CD患者的微创手术中,SILS是一种可行的替代方案.

科学领域:

胃肠病学胃肠病学
手术创新在外科创新.
最少侵入性的手术

背景情况:

克罗恩氏病 (CD) 通常需要手术干预,包括大耳切除.
最少侵入性技术的目的是减少患者的发病率并改善康复.
单切口腹腔镜手术 (SILS) 是一种不断发展的技术,具有潜在的好处.

研究的目的:

为了比较SILS与多端口腹腔镜在CD患者中进行眼切除的术前和术后结果.
为了评估手术时间,解剖管泄漏率,伤口感染和住院时间.
评估二次结果,包括转化率和腹内.

主要方法:

观察性研究的系统审查和元分析.
电子数据库搜索相关文献.
使用Revman 5.3软件进行统计分析.

主要成果:

纳入了5项涉及521名患者的研究 (SILS:211;多端口:310).
SILS显著减少了总手术时间 (MD: -16.14,P = 0.004) 和住院时间 (MD: -0.57,P < 0.0001).
在解管泄漏率或术后伤口感染方面没有发现显著差异;二次结果是可比的.

结论:

单切口腹腔镜手术 (SILS) 是多端口腹腔镜的可行替代方案,用于克罗恩氏病的乳房切除.
在手术时间和住院时间方面,SILS提供了更好的结果.
建议进一步将其纳入常规实践,以推进最少入侵的外科手术方法.

关键词:

克罗恩氏病克罗恩氏病是什么?腹腔镜检查是指腹腔镜检查.这是一个单一的切口.

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