laparoscopic尾切除术的结果:来自当地二级推医院的回顾性研究
Haytham Alarfaj1, Mohammed S Bu Bshait1
1Department of Surgery, College of Medicine, King Faisal University, Al Ahsa, SAU.
Cureus
|December 17, 2024
概括
腹腔镜尾切除术是急性尾炎的安全和可行的手术选择,即使在二级医院. 这种微创手术的结果与减少麻醉剂使用的开放手术相似.
科学领域:
- 一般外科 整体外科
- 最少侵入性的手术
背景情况:
- 腹腔镜尾切除术是急性尾炎的首选方法.
- 它在二级转诊医院中的应用需要评估.
研究的目的:
- 评估腹腔镜尾切除术在二级转诊医院环境中的安全性和可行性.
- 为了比较腹腔镜与开放尾切除术的结果.
主要方法:
- 追溯队列研究 (2021年1月至2023年12月).
- 包括经过尾切除术的>14岁的患者 (透视镜 vs 开放式).
- 排除了间隔或偶然的尾切除.
主要成果:
- 进行了101次腹腔镜和121次开放尾切除术.
- 在手术时间,血流,住院或并发症方面没有显著差异.
- 腹腔镜组的下部手术部位感染 (3%对8.3%).
- 显著减少麻醉剂的使用后拉巴镜尾切除术.
- 在晚期腹腔镜病例中改善了手术时间 (P=0.001).
结论:
- 腹腔镜尾切除术是安全的,可行的,并在二级转诊医院可以采用.
- 适用于受监督的初级工作人员.
- 对急性尾炎进行有效的初始治疗.
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