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在儿童无肺上皮膜的情况下进行跨腹腔镜辅助尾切除术:从单一中心的可行性和结果

Bin Yamaoka¹, Yosuke Watanabe¹, Takayuki Hirano¹

¹Department of Pediatric Surgery, Nihon University School of Medicine, Tokyo, Japan.

Journal of pediatric surgery

|September 17, 2025

概括

穿腹腔镜辅助尾切除术 (TULAA) 没有肺膜是治疗儿科急性尾炎的安全有效方法. 这种技术避免了与气体相关的并发症,尽管粘附可能需要转换,而高度的炎症标志物可能会预测可行性.

科学领域:

儿科手术儿科手术
最少侵入性的手术
胃肠道手术胃肠道手术

背景情况:

穿腹腔镜辅助尾切除术 (TULAA) 是小儿急性尾炎的一种微创方法.
一种经过修改的TULAA技术使用机械腹壁升高而无需肺.
这项研究评估了在儿童患者中不含肺上皮膜的TULAA的安全性和有效性.

研究的目的:

评估在患有急性尾炎的儿科患者中不含肺上皮膜的TULAA的安全性和有效性.
分析临床结果并确定影响程序成功的因素.
在并发症和结果方面,将没有肺上皮膜的TULAA与传统方法进行比较.

主要方法:

对252名儿童患者进行无肺上皮膜的TULAA进行回顾性分析 (2014年1月至2023年12月).
排除标准包括穿孔尾炎与腹内.
程序涉及2厘米的带切口和机械腹壁升高;定义了转换标准.

主要成果:

在92.5%的病例中,手术在没有转换为开放手术的情况下完成.
早期的术后并发症发生在5.1%的患者 (腹内,肠道阻塞).
较高的手术前炎症标志物 (WBC,CRP) 和较长的症状至手术持续时间与未完成相关.

结论:

没有肺上皮管的 TULAA 是小儿急性尾炎的安全有效替代方案,可缓解与气体有关的并发症.
密集的粘附是转换的主要原因;手术前的炎症标志物可以预测可行性.
该技术虽然与更长的手术时间有关,但不包括穿孔尾炎和的患者.

关键词:

附录是指一个附录.炎症标志物是一种炎症标志物.laparoscopic 尾切除术拉巴洛斯科普的尾切除术是一种切除术.最少的侵入性手术是最少的侵入性手术.儿科儿科儿科肺部皮质子 (Pneumoperitoneum) 是一种在肺部上存在的物质.

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