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非吸收的聚合物剪贴用于尾关闭在拉皮镜尾切除术期间.

Mohammed S Foula1, Hassan Alsaleem1, Ahmed Eldamati2

  • 1Department of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).

JSLS : Journal of the Society of Laparoendoscopic Surgeons
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概括

非可吸收的聚合物剪贴 (PC) 提供了一个安全有效的替代方案,用于在腹腔镜尾切除术 (LA) 期间的尾关闭. 这种方法与较短的操作时间和较低的成本相比,endoloop绑架 (EL).

关键词:
急性尾炎是什么情况尾切除术是指尾切除术.复杂性 复杂性 复杂性爱诺洛普 (Endoloop) 是一个内分离的生物.laparoscopic 尾切除术 拉巴洛斯科普的尾切除术是一种切除术.聚合物片的剪贴.

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科学领域:

  • 手术创新 在外科创新.
  • 胃肠道手术 胃肠道手术
  • 最少侵入性手术的方法

背景情况:

  • 急性尾炎是全球紧急手术的主要原因.
  • 腹腔镜尾切除术 (LA) 越来越受欢迎,但茎关闭方法各不相同.
  • 末环结 (EL) 是常见的,但具有挑战性;不可吸收的聚合物剪贴 (PC) 提供了一种经过验证的替代方案.

研究的目的:

  • 为了比较非吸收性聚合物剪贴 (PC) 与尾带 (EL) 的疗效和安全性,用于腹腔镜尾切除术 (LA) 期间的尾关闭.
  • 评估与每个方法相关的操作时间,成本效益和并发症率.

主要方法:

  • 一项回顾性比较队列研究包括483名在2017年1月至2023年12月期间接受LA的患者.
  • 患者被分为两组:第一组 (内皮结合物,n=313) 和第二组 (聚合物剪贴,n=170).
  • 分析了手术时间,成本和术后并发症的数据.

主要成果:

  • 使用聚合物剪贴 (PC) 的腹腔镜尾切除术显著更短 (70分钟 vs. 75分钟,P=.03) 和成本更低 (42.6美元 vs. 95.8美元),而不是使用内皮带 (EL).
  • 较低的腹腔内收集率 (0.6%对1.6%),局部 (0.6%对1%) 和医院再入院 (1.18%对3.19%) 被观察到与PC.
  • 复杂的尾炎和尾直径在各组之间没有显著差异.

结论:

  • 非吸收性聚合物剪贴 (PC) 是在腹腔镜尾切除术 (LA) 中尾关闭尾茎的安全和可行的选择.
  • 个人电脑提供了缩短操作时间和降低成本的优势.
  • 这项研究支持PC作为一种有效的替代传统方法,如EL.