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修改的单端口腹腔镜尾切除术使用针式抓vs常规的三端口腹腔镜尾切除术用于急性无并发症尾炎

Yang Chen¹, Shi-Gang Guo², Xin-Ao Fu³

¹Department of Gastrointestinal Surgery, Chaoyang Central Hospital, China Medical University, Chaoyang 122000, Liaoning Province, China. chenyangsurgeon@qq.com.

World journal of gastrointestinal surgery

|April 28, 2025

概括

修改的单端口腹腔镜尾切除术 (mSLAN) 与急性尾炎的常规腹腔镜尾切除术具有相似的短期结果. 这种微创手术技术提供了相似的手术时间和更好的化品效果.

科学领域:

微创手术是最少的侵入性手术.
手术方面的创新.
胃肠道手术胃肠道手术

背景情况:

单孔腹腔镜尾切除术 (SLA) 是一种先进的微创技术.
使用针式抓取 (mSLAN) 进行修改的SLA已被开发用于简单的尾炎.
需要进一步对mSLAN的可行性和安全性进行高质量的临床评估.

研究的目的:

为了比较mSLAN的短期临床结果与传统的三端口腹腔镜尾切除术 (CLA).
该研究的重点是急性无并发性尾炎的患者.

主要方法:

进行了一项单中心,单盲,前性,随机对照试验.
72名患有急性无并发性尾炎的患者被随机分配到mSLAN或CLA组.
主要终点:24小时术后视觉模拟量表 (VAS) 评分. 二级终点包括手术时间,炎症标志物,恢复指标和并发症.

主要成果:

在24小时VAS得分,炎症标志物,恢复时间或住院期间,mSLAN和CLA之间没有发现显著差异.
两组患者的手术时间和住院费用也相似.
在1个月的随访期间,两组都没有报告任何术后并发症.

结论:

mSLAN在急性无并发性尾炎的短期临床结果与CLA相似.
mSLAN提供类似的操作时间和优越的化品结果.
这些发现表明mSLAN的临床应用潜力,特别是对于优先考虑化品结果的患者;长期结果需要进一步调查.

关键词:

急性尾炎是什么情况尾切除术是指尾切除术.微创手术是最少的侵入性手术.随机对照试验是随机对照试验.单端口腹腔镜检查是一种单端口腹腔镜检查.

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