在儿童性结肠炎紧急和突发性大肠切除术中,拉皮镜的采用越来越多
Alicia C Greene1, Marc M Mankarious1, Adam Finkelstein2
1Department of Surgery, Penn State Hershey Medical Center, Hershey, Pennsylvania.
The Journal of surgical research
|December 9, 2023
概括
最少侵入性手术 (MIS) 越来越多地用于紧急的儿科性结肠炎 (UC) 切除术. 在这种新兴环境中,开放方法和MIS方法的结果是可比的.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 改善外科手术的质量.
背景情况:
- 最少侵入性手术 (MIS) 是选择性儿科性结肠炎 (UC) 切除的标准.
- 在紧急/紧急的儿科UC切除术中,MIS的应用和结果是不太了解的.
研究的目的:
- 评估儿童UC患者进行紧急或紧急切除术的手术方法的趋势.
- 为了在这个人群中比较患者特征和开放式和MIS整体切除方法之间的临床结果.
主要方法:
- 来自国家外科质量改进计划儿科数据库的81名儿科UC患者进行紧急/紧急切除术 (2012-2019) 的回顾性审查.
- 使用线性回归分析趋势,并使用单变量和多变量统计数据比较结果.
主要成果:
- 每年MIS整形切除的比例增加了5.53%.
- 开放式切除术与更年轻的患者,更多的手术前疾病 (如败血症) 和更高的ASA分类有关.
- 虽然单变量分析显示开放程序的停留时间更长,但多变量分析显示,在调整混因素后,开放方法和MIS方法之间的结果没有显著差异.
结论:
- 对于紧急/紧急儿科UC的腹腔镜 (MIS) 切除术的使用有着持续的增加.
- 在这种情况下,开放式和MIS方法之间的短期外科结果似乎是可比的.
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