评估7天障碍:早期腹腔镜胆囊切除术治疗长期症状持续的胆囊炎;系统性审查和元分析
Max H G van Maasakkers1, Teus J Weijs2, Oscar P Cnossen2
1Department of Surgery, St. Antonius Hospital, PO Box 2500, Nieuwegein, 3430 EM, The Netherlands. m.van.maasakkers@antoniusziekenhuis.nl.
Langenbeck's archives of surgery
|November 28, 2024
概括
对于急性胆囊炎的早期腹腔镜胆囊切除术是标准的. 这项审查发现,尽管手术时间较长,但急性胆囊炎的手术延迟超过7天并没有增加并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 基于证据的医学基于证据的医学.
背景情况:
- 在急性胆囊炎中进行腹腔镜胆囊切除术的最佳时间受到争议,特别是在超过七天的病例中.
- 本系统性综述评估了早期腹腔镜胆囊切除术对于七天后出现的急性胆囊炎的安全性和结果.
结论:
- 虽然手术时间增加了,但对于急性胆囊炎而言,延迟腹腔镜胆囊切除术超过七天似乎不会增加并发症风险.
- 局限性包括潜在的偏见和缺乏直接比较晚期与替代治疗的高功率研究.
- 建议在7天后出现急性胆囊炎时,根据患者的因素和外科医生的专业知识,做出个性化治疗决定.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
50
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...
50
01:29Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70