对于急性胆囊炎的早期 laparoscopic胆囊切除术. 什么时候风险似乎迫在眉?
Salah Mansor1,2, Amine Zaidi3, Mohammad Habibullah3
1Acute Care Surgery Section, Hamad General Hospital, HMC, Doha, Qatar.
Asian journal of endoscopic surgery
|May 6, 2025
概括
在症状出现后7天内为急性胆囊炎进行腹腔镜胆囊切除术的时间是安全的. 虽然延迟超过3天可能会增加手术时间和住院时间,但整体并发症和重新手术率不受影响.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
背景情况:
- 急性胆囊炎手术是时间关键的.
- 从历史上看,由于感知到的风险,腹腔镜胆囊切除术的时间一直受到争议.
研究的目的:
- 评估手术时间在症状出现后7天内对急性胆囊炎患者结局的影响.
主要方法:
- 对3299名因急性胆囊炎而接受腹腔镜胆囊切除术的患者进行了回顾性队列研究.
- 根据手术日 (入院7天内) 分组患者,以评估结果.
- 分析的重点是手术持续时间,并发症,转换为开放手术和重新手术率.
主要成果:
- 共有237名患者 (7.18%) 出现并发症.
- 转换为开放性手术发生在0.8%的病例 (27名患者).
- 整体重新手术率为0.5% (17名患者).
结论:
- 延迟腹腔镜胆囊切除术用于急性胆囊炎,超过症状出现后3天,可能会延长手术时间和住院时间.
- 然而,将手术推迟到7天内并不会显著增加整体并发症或重新手术率.
- 对急性胆囊炎进行 laparoscopic 胆囊切除术是可行的,并且在症状出现后7天内进行时是安全的.
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