一个更少:单切口腹腔镜尾切除术有助于术后避开阿片类药物.
Paul M Jeziorczak1, Casey J Goodyear2, Olivia A Perham1
1Department of Pediatric Surgery, OSF Healthcare Children's Hospital of Illinois, Peoria, Illinois, USA.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|February 19, 2025
概括
儿科单切口腹腔镜尾切除术成功消除了术后阿片类药物使用. 这种方法可以最大限度地减少对儿童的阿片类药物依赖,这些儿童因穿孔和非穿孔尾炎而接受尾切除手术.
科学领域:
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
- 最少侵入性的手术
背景情况:
- 阿片类药物流行病需要制定减少术后阿片类药物使用的战略.
- 尾切除术是一种常见的儿科手术手术.
- 单切口腹腔镜尾切除术提供了一个最小侵入性的选择.
研究的目的:
- 在一次切割尾切除术后对儿科患者的阿片类药物使用情况进行审查.
- 为了比较穿孔和非穿孔尾炎的结果.
- 为了评估在此程序后无阿片类药物出院的可行性.
主要方法:
- 对432名小儿病患者 (<18岁) 进行一次切割尾切除术的回顾性审查.
- 收集的数据:停留时间,年龄,穿孔状况和离院阿片类药物状况.
- 学习期:2018年5月至2021年12月在一个机构.
主要成果:
- 零患者被释放的阿片类药物.
- 平均逗留时间为2.1天.
- 穿孔病例和非穿孔病例在停留时间和年龄方面存在显著差异 (分别P <.001和P <.01).
结论:
- 在儿童中,单切口腹腔镜尾切除术可以在没有术后阿片类药物处方的情况下进行.
- 这种方法是减轻小儿尾炎管理中的阿片类药物使用的可行策略.
- 该程序是安全的,耐受性很好,并且可以使用标准腹腔镜设备实现.
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