复杂尾炎中的腹腔镜尾切除术的转化率和结果:一项回顾性研究
Fnu Sadaf1, Muhammad Asif2, Abdullah Iqbal3
1General Surgery, Sadaf Khan Zada Clinic, Peshawar, PAK.
Cureus
|September 19, 2025
概括
从腹腔镜切除术转换为复杂尾炎的开放尾切除术增加了手术时间和并发症. 识别高风险患者可以改善手术决策和患者的治疗结果.
科学领域:
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
- 手术结果研究研究.
背景情况:
- 腹腔镜尾切除术是急性尾炎的首选,因为它可以更快地恢复和更好地化.
- 复杂的尾炎会带来诸如密集的粘附和可视化不良等挑战,可能需要转换为开放性手术.
- 转换可能会导致手术时间增加,并发症和住院.
研究的目的:
- 在复杂的尾炎中,确定从腹腔镜切除术到开放尾术的转化率.
- 为了比较经过转换和没有转换的患者之间的术后结果.
主要方法:
- 对393名患有复杂尾炎的患者进行了回顾性研究,这些患者接受了腹腔镜尾切除术.
- 收集关于人口统计,手术内发现,转换原因,手术时间,并发症和住院时间的数据.
- 使用SPSS进行统计分析,p < 0.05被认为是显著的.
主要成果:
- 转化率为19.8%,主要原因是密集的粘附,可视化不良和出血.
- 转换患者的手术时间显着更长 (91.6分 vs. 61.7分),手术部位感染率更高 (23.1% vs. 8.6%),住院时间更长 (5.6天 vs. 3.8天).
- 转换的危险因素包括高BMI,高CRP,延迟呈现 (>48小时),以及之前的腹部手术.
结论:
- 在复杂的尾炎中转换为开放性手术与增加的发病率有关.
- 使用临床和实验室参数早期识别高风险患者可以帮助手术决策.
- 优化腹腔镜技术和患者选择可能会改善复杂尾炎的结果.
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