在腹腔镜尾切除术后穿孔尾炎的腹腔内排水放置的实用性,用于术后腹腔内腹的预防
Jasim Alabbad1,2, Hadeel Alhamly3, Abdulaziz Alrubaiaan3
1Mubarak Al-Kabeer Hospital, Jabriya, Kuwait. jasim.alabbad@ku.edu.kw.
Surgical endoscopy
|May 15, 2024
概括
对于穿孔性尾炎的腹腔镜尾切除术后的腹腔内排水并不能减少的形成. 这种做法可能会增加住院时间,但没有显著的好处.
科学领域:
- 外科手术的结果
- 胃肠道手术 胃肠道手术
- 传染病 传染病 传染病 传染病
背景情况:
- 穿孔性尾炎经常导致术后腹内腹.
- 假设腹腔内排水可以在尾切除过程中减轻这种风险.
研究的目的:
- 评估腹腔内排水装置在为穿孔性尾炎进行腹腔镜除术后预防术后腹腔内腹的疗效.
主要方法:
- 对511名患者 (年龄≥7岁) 的回顾性分析,这些患者因穿孔性尾炎而接受了腹腔镜尾切除 (2018-2022).
- 具有和没有手术内腹腔内排水的患者之间的结局的比较.
- 主要结局:术后腹膜内. 二次结局:并发症,SSI,LOS,再接收.
主要成果:
- 排水 (6.5%) 和未排水 (5.4%) 组之间的腹腔内 rate没有显著差异 (p=0.707).
- 排水的患者经历了更长的停留时间 (LOS) (p<0.001).
- 在整体并发症,表面手术部位感染 (SSI) 或再入院率方面没有发现显著差异.
结论:
- 腹腔内排水管的放置在穿孔性尾炎的拉巴罗镜尾切除术后减少腹形成方面没有明显的好处.
- 使用排水可能与住院时间的延长有关.
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