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在撒哈拉以南非洲的急性尾炎中, laparoscopic 与开放尾切除术相比

Temitomi Jane Oyedele¹, Syed Hasham Ali², Abigail Oghenefejiro Asini³

¹Department of Medicine and Surgery, Bowen University, Iwo, Nigeria.

Annals of medicine and surgery (2012)

|January 7, 2026

概括

在撒哈拉以南非洲,腹腔镜尾切除术 (LA) 与开放尾切除术 (OA) 相比,显著减少了手术部位感染和急性尾炎的住院时间. 虽然运营时间更长,但LA在该地区提供了关键的安全和效率优势.

科学领域:

外科手术手术手术
胃肠道手术胃肠道手术
公共卫生公共卫生

背景情况:

急性尾炎是全世界常见的手术紧急情况.
腹腔镜尾切除术 (LA) 是高收入国家的首选,但在撒哈拉以南非洲的采用是有限的,由于资源限制.
本研究评估了撒哈拉以南非洲地区的LA与开放尾切除术 (OA) 的对比.

研究的目的:

评估LA与OA相比的安全性,可行性和成本效益,用于撒哈拉以南非洲的急性尾炎.
为在资源有限的环境中进行外科手术提供基于证据的建议.

主要方法:

按照PRISMA指南进行了系统审查和元分析.
在多个数据库 (PubMed/MEDLINE,Cochrane,AJOL,Scopus,Embase,Web of Science) 进行了搜索,截至2025年7月.
包括对撒哈拉以南非洲地区急性尾炎的LA和OA进行比较的研究,分析SSI,手术时间,住院时间和成本等结果.

主要成果:

LA显著降低了手术部位感染 (SSI) 风险 (RR 0.40,95% CI:0.23-0.69) 和住院时间 (MD 1.32天).
对LA来说,操作时间更长 (MD 13.79分钟).
成本效益数据不确切,OA和LA的结果各不相同,影院成本没有显著差异.

结论:

腹腔镜尾切除术 (LA) 对撒哈拉以南非洲地区急性尾炎治疗的开放尾切除术 (OA) 具有显著的安全性和效率优势.
尽管手术时间较长,但并发症和住院时间的减少支持LA采用.
需要在不同的资源环境中进一步研究成本效益.

关键词:

非洲非洲非洲这是尾切除术.腹腔镜检查是指腹腔镜检查.

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