单切口拉皮镜尾切除术与常规拉皮镜尾切除术在成人急性尾炎的临床结果
Juntendo Iji zasshi = Juntendo medical journal
|January 22, 2025
概括
单切口腹腔镜尾切除术 (SILA) 是急性尾炎的安全和可行的选择,允许较早的口服和较短的住院时间,相比传统的三口腹腔镜尾切除术 (CLA),尽管增加了止痛药的使用.
科学领域:
- 最少侵入性的手术
- 手术结果研究研究.
- 胃肠道手术 胃肠道手术
背景情况:
- 腹腔镜手术是急性尾炎的标准.
- 自1995年以来,传统的3端口腹腔镜尾切除术 (CLA) 已经建立.
- 单切口腹腔镜尾切除术 (SILA) 于2009年出现,作为一种不那么侵入性的替代方案.
研究的目的:
- 为了比较SILA和CLA之间的术后结果.
- 评估SILA对急性尾炎的临床有用性和安全性.
主要方法:
- 从2009年到2020年,对568名患者 (327名CLA,241名SILA) 进行了回顾性观察研究.
- 倾向性得分匹配 (PSM) 创建了由224名患者组成的可比组.
- 分析了术后的结果,包括口服,止痛药的使用,住院和并发症.
主要成果:
- 在SILA组中,口服时间显著缩短 (p=0.02).
- SILA组需要显著更多的止痛药 (p<0.01总体,p=0.04弗卢比乙烯,p<0.01洛克索).
- 在SILA组,术后住院时间显著缩短 (p<0.01),并发症率相似.
结论:
- SILA是成人急性尾炎的安全和可行的程序.
- 虽然SILA需要增加术后止痛药,但疼痛是可以控制的,患者会更早出院.
- 术后结果有利于SILA,特别是在减少住院时间方面.
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