急性胆囊炎的早期与延迟的腹腔镜胆囊切除术:一个单一中心的经验
概括
与延迟干预 (DLC) 相比,急性胆囊炎 (AC) 的早期腹腔镜胆囊切除术 (ELC) 导致更好的结果,包括较少的开放性手术和更短的住院时间. COVID-19 流行病并没有显著影响这些结果.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 急性胆囊炎 (AC) 构成了重大的公共卫生挑战,手术治疗成本是一个主要问题.
- 腹腔镜胆囊切除术 (LC) 是AC的标准手术方法.
- 对于LC的最佳时机,特别是早期 (ELC) 与延迟 (DLC) 的最佳时机,仍然是争论的主题.
研究的目的:
- 为了比较急性胆囊炎的早期 (ELC) 和延迟 (DLC) 腹腔镜胆囊切除术之间的术后结果.
- 评估COVID-19大流行对AC患者手术结果的影响.
主要方法:
- 一项追溯观察性研究,涉及266名被诊断患有AC的患者.
- 患者被分为ELC (72小时内出现症状) 和DLC (72小时后) 组.
- 分析了数据,比较了流行病前和流行病前的队列.
主要成果:
- 与DLC组相比,ELC组的开放手术转换较少,住院时间缩短.
- COVID-19大流行并没有显著影响AC手术时间或患者人口统计数据.
- 在大流行期间的术后结果与大流行前时期相似.
结论:
- 早期腹腔镜胆囊切除术 (ELC) 对急性胆囊炎 (AC) 患者提供了显著的优势,支持其对延迟干预 (DLC) 的偏好.
- 尽管在疫情期间AC住院病例的潜在减少,但外科手术结果保持一致.
- 建议进行进一步的多中心研究,以广泛评估腹腔镜手术在紧急情况下的疗效.
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