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在创伤性骨破裂的情况下进行紧急 laparoscopic 骨切除术的定位

Hongjun Haung¹, Zhiqiang Haung¹, Ruofei Xiong¹

¹Department of General Surgery, Shaoxing Central Hospital, The Central Affiliated Hospital, Shaoxing University, Shaoxing, China.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|November 4, 2024

概括

在患有创伤性骨破裂的患者的紧急腹腔镜手术中,右侧下垂位置优越,导致手术时间缩短和并发症减少.

科学领域:

手术创新在外科创新.
创伤外科手术创伤外科
最少侵入性手术的方法

背景情况:

创伤性骨破裂是致病率和死亡率的重要原因.
腹腔镜手术 (LS) 对脏损伤的开放手术具有优势.
在LS期间对创伤性骨破裂的最佳患者定位需要进一步调查.

研究的目的:

为了比较右侧腰位置与卧卧位置在创伤性骨破裂患者的紧急腹腔镜手术的疗效.
评估手术定位对关键手术和术后结果的影响.

主要方法:

一项描述性研究分析了96名因创伤性骨破裂而接受LS的患者的临床数据.
患者被分为两个组:右侧部 (n=42) 和仰卧 (n=54).
结果包括手术时间,血液损失,转化率和并发症.

主要成果:

右侧部缩组的手术时间显著缩短 (145.5分 vs. 169.0分),手术内流血减少 (75.3分 vs. 110.3毫升).
较少的转换到腹腔切除术 (2.4%对比16.7%) 和较低的术后胰腺泄漏率 (7.1%对比24.1%) 观察到右侧位组.
整体并发症率在右侧部位置 (23.8%对53.7%) 显着较低.

结论:

右侧位是创伤性骨破裂患者紧急腹腔镜手术的首选手术位置.
这种定位策略通过减少手术时间,血液流失和并发症来提高手术效率和患者安全.

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