室外腹腔镜尾切除术:急性尾炎中术后并发症的危险因素?
Hanbaro Kim1, Byung Mo Kang2,3
1Department of Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|December 4, 2024
概括
紧急腹腔镜尾切除术的结果是相似的,无论是在工作时间还是工作时间之外进行. 这一发现表明,急性尾炎的手术时间可以优先考虑患者的病情和医院资源,而不是严格的日程安排.
科学领域:
- 外科手术 手术手术
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
背景情况:
- 手术环境会影响患者的治疗结果.
- 紧急手术的时间可能会影响临床结果.
研究的目的:
- 为了评估手术时间对急性尾炎的紧急腹腔镜尾切除术的短期结果的影响.
主要方法:
- 对647名接受紧急腹腔镜尾切除术的患者进行了回顾性研究.
- 患者分为工作时间和工作时间以外的手术组.
- 两组之间临床结果的比较.
主要成果:
- 在30日术后并发症率上没有显著差异 (7.8%与10.4%).
- 并发症的严重程度相似 (修改的Clavien-Dindo分类).
- 可以比较的操作时间和功能恢复的时间.
结论:
- 在工作时间之外的腹腔镜尾切除术产生了与工作时间程序相似的临床结果.
- 对急性尾炎的调度决定可以基于患者的病情和医院的容量.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
49
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...
49
Appendicitis-II: Diagnostic Studies and Management
64
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...
64
Appendicitis-I: Introduction
89
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
89


