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儿科肥胖症对开放性和腹腔镜尾切除术结果的影响

Anshul Bhatnagar¹, Nishtha Nigam², Rohan Anne³

¹School of Medicine, Baylor College of Medicine, Houston, Texas.

Surgery journal (New York, N.Y.)

|December 4, 2024

概括

儿科尾切除术结果显示,腹腔镜手术可以减少肥胖儿童的入院时间. 肥胖增加了开放性尾切除术后的住院时间,但不是腹腔镜,对并发症率没有影响.

科学领域:

儿科手术儿科手术
肥胖问题研究研究
医疗保健服务研究医疗服务研究

背景情况:

儿童肥胖是一个日益关注的问题,使尾切除等手术程序变得复杂.
关于肥胖和尾切除结果的现有研究受到小样本大小和缺乏手术方法区分的限制.
手术方法和小儿肥胖症在尾切除术结果上的相互作用仍然不清楚.

研究的目的:

分析术后尾切除术的结果,考虑儿科肥胖症,手术方法 (腹腔镜 vs 开放) 以及它们的相互作用.
为优化儿科尾切除护理提供数据驱动的见解.
为了告知儿科外科服务的资源分配.

主要方法:

来自2019年儿童住院患者数据库的全国儿科住院患者数据的回顾性队列分析.
检查的结果包括停留时间和术后并发症率.
利用多重回归分析来评估儿科肥胖,手术方法及其相互作用的影响,控制患者的人口统计和临床因素.

主要成果:

腹腔镜尾切除术 (LA) 与开放尾切除术 (OA) 相比,导致停留时间缩短了5.8%.
肥胖患者的住院时间比非肥胖患者长31.8%,但LA比OA患者减少了19%的差异.
肥胖并没有显著影响术后并发症的发生率,无论手术方法如何.

结论:

虽然肥胖增加了开放尾切除术后的停留时间,但腹腔镜尾切除术将这种差异降到最低.
手术方法不会影响与儿科肥胖相关的并发症率.
研究结果支持为肥胖儿科患者选择量身定制的手术方法,以优化恢复和资源利用.

关键词:

腹腔镜尾切除术腹腔镜尾切除术停留时间的长度.肥胖肥胖肥胖肥胖肥胖肥胖肥胖肥胖开放的尾切除术.术后并发症术后并发症这是一个回归回归的回归.

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