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laparoscopic 间隔尾切除术作为复杂尾炎的安全和有效治疗,在最初的保守方法失败后:一个单一中心的经验

Ciro Esposito¹, Fulvia Del Conte¹, Mariapina Cerulo¹

¹Pediatric Surgery Unit, Federico II University Hospital, Naples, Italy.

Journal of laparoendoscopic & advanced surgical techniques. Part A

|August 6, 2025

概括

早期腹腔镜间隔尾切除术在抗生素治疗后的复发性急性尾炎中是安全有效的. 这种方法可以避免并发症,并为管理持续症状提供可行的解决方案,需要进一步研究最佳时机.

科学领域:

手术方面的创新.
胃肠病学胃肠病学
儿科外科手术儿科外科手术

背景情况:

抗生素治疗现在是COVID-19后急性尾炎 (AA) 的常见一线治疗方法.
在最初的非手术治疗后,复发症状往往需要间歇性尾切除术 (IA).
这项研究评估了早期的,非计划的腹腔镜IA (LIA) 对于复发的AA.

研究的目的:

报告早期,无计划的腹腔镜间隔尾切除术 (LIA) 的经验.
评估急性尾炎的抗生素治疗后LIA的安全性和可行性.
分析患者特征和LIA的手术结果.

主要方法:

从2022年1月到2024年3月,对从2022年1月到2024年3月的复发性AA接受LIA的患者进行回顾性审查.
纳入标准:以前的AA用抗生素管理,其次是由于复发而导致的LIA.
收集的数据:患者人口统计,手术细节和结果.

主要成果:

71名患者 (40名女孩,31名男孩;中位数年龄为13.3岁) 接受了LIA.
所有手术都是通过腹腔镜完成的,没有并发症或转换.
中位数的手术时间为27分钟;中位数的住院时间为32小时.
发现包括粘附 (43%) 和尾 (35%);寄生虫虫在7%.

结论:

早期的腹腔镜间隔尾切除术是经过非手术治疗失败后复发性急性尾炎的安全和可行的选择.
该手术没有显示任何手术内或术后并发症.
建议进行进一步的研究,以优化治疗策略和时间,考虑诸如粘附和尾位置等因素.

关键词:

急性尾炎是什么情况抗生素抗生素是一种抗生素.孩子们的孩子们的孩子们的孩子们时间间隔尾切除术腹腔镜检查是指腹腔镜检查.

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