在儿童腹腔镜复杂尾切除术后使用排水:单中心体验
Valerio Voglino1, Simone Frediani2, Ivan P Aloi1
1Unit of General and Thoracic Pediatric Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Minerva pediatrics
|September 19, 2024
概括
复杂尾炎的尾切除术后的腹部排水并没有减少并发症. 这项研究发现排水与更长的住院时间有关,而不是儿童患者的改善结果.
科学领域:
- 儿科手术 儿科手术
- 手术并发症 手术并发症
- 胃肠道手术 胃肠道手术
背景情况:
- 复杂的尾炎增加了尾切除术患者的术后风险.
- 腹部排水有时用于减轻这些风险.
- 腹部排水在预防尾切除术后并发症的有效性尚不清楚.
研究的目的:
- 为了评估腹部排水在预防术后并发症的有效性,尾切除术后复杂的尾炎在儿科患者.
- 为了比较接受腹部排水的儿科患者与没有接受腹部排水的儿科患者之间的结果.
主要方法:
- 在三级医疗中心为复杂尾炎进行尾切除的儿科患者的回顾性审查 (2021年10月 - 2022年9月).
- 术前特征和术后结果的比较,在患有和没有腹腔管的患者之间进行.
- 分析包括住院时间和C反应蛋白 (CRP) 正常化的时间.
主要成果:
- 44.58%的患者 (37/83) 接受了腹部排水.
- 排水组经历了显著更长的住院时间 (9对6天,P=0.0002) 和延迟的CRP正常化 (8对6天,P=0.0222).
- 虽然排水组的并发症率比较高 (30.56%对23.81%),但这种差异在统计学上并不显著.
结论:
- 在患有复杂尾炎的儿科患者中,腹腔排水没有显著地预防手术后的并发症,这些患者接受了腹腔镜尾切除术.
- 排水管的放置与延长住院时间有关.
- 需要排水的患者可能有更严重的潜在疾病,影响观察到的结果.
相关概念视频
01:29Appendicitis-II: Diagnostic Studies and Management
67
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
67
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
57
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
57
01:21Inflammatory Bowel Disease V: Surgical Management
128
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
128