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紧急 laparoscopic胆囊切除途径可减少选择性等待时间和手术前入院:一个前性匹配的队列研究

Mohammed Hamid¹, Omar E S Mostafa¹, Maria Kausar¹

¹General Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.

Medical sciences (Basel, Switzerland)

|July 23, 2025

概括

实施紧急腹腔镜胆囊切除术 (ELC) 途径对于急性胆结石疾病是安全有效的. 这种方法显著减少了手术等待时间和手术前入院,使患者和医疗保健系统受益.

科学领域:

手术创新在外科创新.
胃肠病学胃肠病学
医疗保健服务研究医疗服务研究

背景情况:

急性胆结石疾病往往需要手术干预.
腹腔镜胆囊切除术是胆结石的标准治疗方法.
紧急腹腔镜胆囊切除术 (ELC) 是延迟选择性手术的替代方案,尽管存在文化障碍.

研究的目的:

为了比较可选和紧急腹腔镜胆囊切除术之间的结果.
评估ELC路径对选修等待时间的影响.
评估ELC途径对患者结果和医疗保健服务提供的影响.

主要方法:

前性队列研究 (2021年12月 - 2023年12月).
包括所有接受紧急或选择性腹腔镜胆囊切除术的患者.
使用倾向得分匹配,相关统计和多变量逻辑回归进行分析.

主要成果:

该ELC途径实现了81.4%的首次提交程序率,具有较高的一日案件和第二天释放率.
紧急病例显示了较长的手术时间和较高的亚总胆囊切除术和术后ERCP比选择性.
该ELC途径显著减少了可选等待时间 (中位数为9至3个月) 和手术前入院.

结论:

一个ELC途径是一种安全,有效和成本意识的策略,用于胆结石疾病管理.
福利包括减少手术等待时间和手术前入院.
成功实施需要外科专业知识,部分胆囊切除术的技能,以及机构资源 (成像,ERCP).

关键词:

紧急胆囊切除术是指胆囊切除术.患者的治疗结果.在术后的ERCP中.在手术前的入院.服务成本服务成本部分总的胆囊切除术.在等待名单上.

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