[左侧腹腔镜切除术后的透口样本提取:系统性审查和元分析]
E N Ryadkova1, A F Mingazov1,2, S I Achkasov1,2
1Ryzhikh National Medical Research Center of Coloproctology, Moscow, Russia.
Khirurgiia
|November 27, 2023
概括
在腹腔镜切除术中提取经口样本是安全的,并提供更好的短期结果. 这种最少的侵入性方法可以减少疼痛和住院时间,而不会增加并发症风险,而不是通过腹腔提取.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 手术结果研究研究.
背景情况:
- 腹腔镜切除术是各种结肠直肠疾病的标准手术.
- 样本提取是一个关键的步骤,跨腹部和跨门的方法是常见的.
- 优化短期结果和患者康复是外科创新的重点.
研究的目的:
- 在左侧腹腔镜切除术期间,通过门和腹腔抽取样本之间的短期外科结果进行比较.
- 在这种情况下,评估透过口抽取样本的安全性和有效性.
主要方法:
- 进行了一项元分析,其中包括3项遵循PRISMA指南的随机对照试验.
- 分析了353名患者的数据:169名通过门提取,184名通过腹腔提取.
- 统计分析的重点是手术后的并发症,疼痛的严重程度,的经过,和住院.
主要成果:
- 在两种提取方法之间,整体术后并发症或静脉漏率没有显著差异.
- 通过口抽取样本与明显较低的疼痛评分相关 (p<0.00001).
- 经过过取术的患者经历了较早的浮分泌和更短的住院时间 (p<0.00001).
结论:
- 透过门的样本提取是左侧腹腔镜切除术的安全替代方案,不会增加并发症风险.
- 透过门的方法 (NOSE技术) 显示出优异的短期结果,包括减少疼痛和更快的恢复.
- 这种技术为患者的康复和医院资源利用提供了潜在的好处.
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