在尼泊尔的儿童中, laparoscopic尾切除术的可行性:一种安全和首选的方法
Lok B Kathayat1, Bharat M Banjade2, Bikram Duwal3
1General Surgery, James Paget University Hospital NHS Foundation Trust, Great Yarmouth, GBR.
Cureus
|September 19, 2025
概括
腹腔镜尾切除术是尼泊尔儿童的安全和可行的手术,这是资源有限的环境. 这种方法提供了最小的并发症,并允许早期出院与小痕.
科学领域:
- 儿科外科手术 儿科外科手术
- 微创手术是最少的侵入性手术.
- 全球卫生健康 全球卫生健康
背景情况:
- 急性尾炎在儿童中很常见,尾切除术是标准治疗方法.
- 腹腔镜尾切除术比开放式手术具有优势,但在尼泊尔等资源有限的环境中,其可行性尚未得到充分研究.
- 在尼泊尔,开放性尾切除仍然很普遍.
研究的目的:
- 评估尼泊尔儿科患者腹腔镜尾切除术的可行性.
- 评估技术困难,操作时间,并发症和恢复.
- 在不增加与全身麻醉相关的风险的情况下确定安全性.
主要方法:
- 在尼泊尔的一家三级医院进行了一年多的单中心前性观察性研究.
- 包括5至15岁的儿童,患有急性尾炎.
- 随访持续至出院后30天,使用SPSS分析数据.
主要成果:
- 平均操作时间为44.9±15分钟.
- 没有手术内或手术后的并发症,也没有转换为开放手术.
- 仅报告了一例手术部位感染 (3.13%),大多数患者在第二天出院,没有再入院.
结论:
- 腹腔镜尾切除术在经验丰富的外科医生进行时,在尼泊尔等资源有限的环境中的儿童中是安全和可行的.
- 该程序与最小的手术内和手术后并发症有关.
- 早期放出和小痕是这种方法的关键好处.
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