从腹腔镜尾切除术转换为开放尾切除术的风险因素:对单中心经验的回顾性分析
Cengiz Ceylan1, İsa Elbistan2, Bora Barut2
1Department of Gastrointestinal Surgery, Eskisehir City Hospital, Eskisehir-Türkiye.
概括
马拉提亚复杂尾炎预测分数 (MCAPS) 6或以上是转换腹腔镜尾切除术为开放手术的唯一独立风险因素. 这一分数可以帮助预测急性尾炎病例的转化概率.
科学领域:
- 手术成果研究的研究结果.
- 胃肠道手术 胃肠道手术
背景情况:
- 急性尾炎 (AA) 是手术急性腹部的一个常见原因.
- 腹腔镜尾切除术 (LA) 是首选的手术方法.
- 在LA程序中,转换为开放尾切除术 (OA) 是可能的.
研究的目的:
- 在急性尾炎管理中,确定从LA转化为OA的风险因素.
主要方法:
- 对445名接受AA的LA患者进行了回顾性病例控制研究 (2018-2023年).
- 患者分为LA和转换到OA组.
- 使用单变量和多变量分析评估手术前的人口,临床和术后数据.
主要成果:
- 整体的转换率为3.8%.
- 单变量分析显示,年龄,ASA得分,急诊室到达时间,CRP,粉酶,MCAPS≥6,并发尾炎与转化有关.
- 多变量分析确定MCAPS得分≥6作为转换的唯一独立风险因素 (p=0.034).
结论:
- 在AA管理中,转换为OA有时是不可避免的.
- MCAPS是临床医生预测转化概率的一个易于应用的工具.
- 在适当的情况下,MCAPS可以帮助决定初级OA.
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