穿腹腔镜辅助尾切除术是否可用于复杂的尾炎? 一个单一中心的经验
Chiara Costantini1,2, Elisa Pani3, Elisa Negri3
1Pediatric Surgery, Woman and Child Health Department, Hospital of Padua, Padua, Italy. chiaracostantini6@gmail.com.
Pediatric surgery international
|February 3, 2024
概括
穿腹腔镜辅助尾切除术 (TULAA) 对于儿童的简单和复杂的尾炎是安全有效的. 这种最少的侵入性方法提供了与传统的腹腔镜手术相似的结果,证明了可行性和成本效益.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
背景情况:
- 穿腹腔镜辅助手术 (TULS) 结合了腹腔镜和开放手术的好处.
- 穿腹腔镜辅助尾切除术 (TULAA) 已用于儿童无并发性尾炎 (UA).
- 它在复杂尾炎 (CA) 中的应用仍在争论中.
研究的目的:
- 评估儿童患者对UA和CA的TULAA的安全性,可行性和结果.
- 用TULAA治疗的UA和CA之间的关键手术指标进行比较.
主要方法:
- 追溯收集2017年4月至2022年4月的TULAA案件.
- 将尾炎分为不复杂的 (UA) 和复杂的 (CA) 类别.
- 分析转换率,手术时间,停留时间,手术部位感染 (SSI),术后,以及成本.
主要成果:
- 316名儿童在5年内接受了TULAA;3%的转化率.
- 与UA相比,CA病例的手术时间 (60.73分 vs. 38.33分) 和住院时间 (7天 vs. 4天) 较长.
- 在SSI中没有显著差异;然而,在CA (11%) 与UA (1%) 中,腹腔内收集的数量更高.
结论:
- 图拉是一种安全,可行的,经济高效的选择,用于儿童无并发症和并发症尾炎.
- 复杂尾炎中TULAA的结果与传统腹腔镜手术 (CLS) 的文献数据相似.
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