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单切割与传统的多切割腹腔镜尾切除术对于疑似无并发性尾炎

Ahmer Irfan¹, Ahsan Rao², Irfan Ahmed³

¹Department of Surgery, Toronto General Hospital, Toronto, Canada.

The Cochrane database of systematic reviews

|September 19, 2025

概括

单切口腹腔镜尾切除术 (SILA) 与常规腹腔镜尾切除术 (CLA) 在尾炎的并发症和恢复方面显示了相似的结果. 然而,SILA可能具有更高的转化率,但提供更优质的化品效果和可能更短的住院时间.

科学领域:

最少侵入性的手术
手术技巧手术技巧
胃肠道手术胃肠道手术

背景情况:

治疗急性尾炎的尾切除术已经从开放式手术演变为腹腔镜手术.
单切口腹腔镜尾切除术 (SILA) 是一种使用单切口的新技术.
目前正在进行SILA和常规腹腔镜尾切除术 (CLA) 之间的比较.

研究的目的:

为了比较尾炎的SILA与CLA.
评估好处,并发症和短期结果.
更新以前关于SILA疗效的系统审查.

主要方法:

随机对照试验 (RCT) 的系统审查.
搜索了多个数据库,包括CENTRAL,MEDLINE和Embase,直到2024年1月.
包括对10岁以上患者的SILA和CLA进行比较的RCT.

主要成果:

分析了11个与1373名参与者的RCT.
24小时后的疼痛得分相似 (低确定性证据).
SILA显示出优异的化品效果 (中度确定性证据).
内脏/血管损伤率相似 (中度确定性证据).
对SILA的更高的转换率 (低确定性证据).
为SILA (中度确定性证据) 增加了额外的港口地点使用量.
随着SILA (中等确定性证据) 的边际改善了住院时间.
同样的恢复正常活动 (中等确定性证据).

结论:

在并发症和短期结果方面,SILA与尾炎的CLA相似.
SILA可能具有更高的转化率,但提供更好的美容满意度.
证据的确定性低至中等,需要谨慎的解释.

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