腹腔镜尾切除术后腹部的危险因素
Liyang Liu1, Wenjun Feng1, Kuanyong Yu1
1Department of General Surgery, Nanjing Jiangbei Hospital, Nantong University Xinglin College, No. 552 Geguan Road, Liuhe District, Nanjing, 210048, Jiangsu, China.
BMC surgery
|October 15, 2025
概括
尾穿孔和更长的手术时间是 laparoscopic appendectomy (LA) 后腹腔内 (IAA) 的关键危险因素. 识别这些因素有助于预测手术后IAA的发展.
科学领域:
- 外科手术的结果
- 胃肠道手术 胃肠道手术
- 传染病并发症 传染病并发症
背景情况:
- 腹腔内 (IAA) 是腹腔镜尾切除术 (LA) 后的一个潜在并发症.
- 识别IAA的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查和确定与LA后IAA发展相关的独立风险因素.
- 评估IAA形成的已确定的风险因素的预测效果.
主要方法:
- 对接受LA的839名患者进行了回顾性分析.
- 进行单变量和多变量分析以选风险因素.
- 用接收器运行特征 (ROC) 曲线分析来评估预测效率.
主要成果:
- 多变量分析确定尾孔 (OR=4.763) 和手术时间 (OR=1.024) 是IAA的显著风险因素.
- 尾孔穿孔的ROC曲线下的面积 (AUC) 为0.623,而手术时间为0.683.
- 在LA后观察到25例IAA病例.
结论:
- 尾穿孔和延长的手术时间是LA后IAA的独立预测因素.
- 这些因素可以帮助预测在接受LA的患者中IAA发展的可能性.
相关概念视频
Appendicitis-I: Introduction
2.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.1K
Appendicitis-II: Diagnostic Studies and Management
501
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
501
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
551
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
551


