[儿童尾切除术:腹腔镜还是开放式的方法?]
Balázs Fadgyas1,2, Gábor István Garai1, Dorottya Őri3,4
11 Heim Pál Országos Gyermekgyógyászati Intézet, Sebészeti és Traumatológiai Osztály Budapest, Üllői út 86., 1089 Magyarország.
Orvosi hetilap
|May 12, 2024
概括
与开放性尾切除术相比,儿童的腹腔镜尾切除术提供了显著更短的住院时间,并没有明显的并发症率差异. 这两种手术方法对于治疗儿科患者急性尾炎是安全的.
科学领域:
- 儿科手术 儿科手术
- 手术瘤学手术瘤学
背景情况:
- 尾切除术是儿童常见的一种手术手术.
- 腹腔镜和开放方法被广泛用于尾切除术.
- 对儿科尾切除术结果的比较数据对于临床决策至关重要.
研究的目的:
- 评估和比较腹腔镜与儿童尾切除术的结果.
- 为了评估这两种手术技术的并发症率和住院时间.
- 提供关于儿科尾切除术有效性和安全性的单一中心数据.
主要方法:
- 在2011年至2020年间接受尾切除手术的儿科患者 (018岁) 的回顾性观察队列研究.
- 患者分为腹腔镜和开放尾切除组 (包括转换病例).
- 对术后并发症和住院时间的分析,分为无并发症和并发症尾炎.
主要成果:
- 总共分析了1444名患者 (602名腹腔镜,842名开放).
- 腹腔镜 (7.48%) 和开放 (9.86%) 尾切除术之间的并发症率没有显著差异 (p = 0.1163).
- 腹腔镜尾切除术导致医院住院时间的中位数显著缩短 (3天),而不是开放尾切除术 (4天) (p<0.0001).
结论:
- 腹腔镜和开放尾切除术都是安全有效的治疗儿童急性尾炎的方法.
- 腹腔镜尾切除术与较短的住院时间有关,特别有利于儿科护理.
- 进一步的研究可以探索每个方法的长期结果和成本效益.
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