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跨腹腔镜辅助尾切除术在儿童和青少年:我们在超过1200个案例中学到了什么?
Tobias Klein1,2, D Diesbach3, T M Boemers3
1Department of Pediatric Surgery and Pediatric Urology, Children's Hospital of Cologne, Kliniken der Stadt Köln gGmbH, Amsterdamer Straße 59, 50735, Cologne, Germany. 7081.klein@gmail.com.
穿腹腔镜辅助尾切除术 (TULAA) 是对儿科尾炎的一种安全且具有成本效益的程序. 然而,复杂的病例和超重患者可能会有更高的转化率和并发症率.
科学领域:
- 儿科手术 儿科手术
- 手术技巧 手术技巧
- 附录 管理 附录 管理
背景情况:
- 穿腹腔镜辅助尾切除术 (TULAA) 整合了腹腔镜和开放手术方法.
- 虽然通常是安全的,快速的,和经济的,图拉的单仪器制备提出了复杂的尾炎的挑战.
研究的目的:
- 为了评估TulaA在儿科患者的结果.
- 分析与TULAA相关的转化和并发症率.
主要方法:
- 一项回顾性研究分析了2006年至2016年期间接受TULAA治疗的1275名儿科患者的数据.
- 数据包括患者人口统计,手术细节,成本,并发症和转换率到标准腹腔镜或开放尾切除术.
主要成果:
- 图拉在88%的病例中成功完成,平均手术时间为33分钟.
- 整体并发症率为5.7%,伤口感染,血清瘤和伤口是最常见的.
- 复杂的尾炎和超重/肥胖与明显更高的转化率和并发症率有关.
结论:
- 图拉是儿童和青少年急性尾炎的安全,快速和经济的选择.
- 并发症和转化率与尾炎的严重程度有关,与其他外科手术方法可比.
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