对于困难的胆囊进行 laparoscopic 亚总胆囊切除术:单中心回顾性队列研究
Shadi A Alshammary1, Sharifah A Othman1, Dhuha N Boumarah1
1King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
概括
腹腔镜次全胆囊切除术 (LSC) 是难以切除胆囊的更安全的替代方案,但它比腹腔镜全胆囊切除术 (LTC) 具有更高的并发症率和更长的住院时间. 需要进一步的研究来优化结果.
科学领域:
- 胃肠道学和肝胆道外科
- 最少侵入性的外科技术.
- 手术结果研究研究.
背景情况:
- 艰难的胆囊切除术病例带来了挑战,包括增加手术时间,出血和胆道损伤的风险.
- 在复杂的胆囊手术中, laparoscopic 亚总胆囊切除术 (LSC) 作为一种有价值的救助手术.
- 与在具有挑战性的情况下尝试全腹腔镜全胆囊切除术 (LTC) 相比,LSC提供了一个可管理和更安全的替代方案.
研究的目的:
- 为了比较腹腔镜全胆囊切除术 (LTC) 和腹腔镜亚全胆囊切除术 (LSC) 之间的术后结果.
主要方法:
- 从2010年到2020年,在沙特阿拉伯大学的法赫德国王医院进行了一项回顾性,横截面研究.
- 包括18岁以上的患者,他们接受了腹腔镜分全切除术或全切除术.
- 数据分析的重点是比较患者人口统计,诊断,转化率和术后结果.
主要成果:
- 在636名患者中,只有21名患者接受了LSC;这些患者更常被诊断为急性胆囊炎.
- 腰椎瘤与术后排水率 (71.4% vs 7.8%),住院时间更长 (9.14天 vs 4.6天) 和重新手术率增加 (9.5% vs 0.7%) 相关.
- 在白细胞 (WBC) 计数,网细胞水平和转化为LSC之间发现了显著的关联.
结论:
- laparoscopic 亚总胆囊切除术是困难胆囊切除术的可行选择,在这种情况下,完全切除是不可行的,但必须考虑潜在的并发症.
- 该研究强调了与LTC相比,与LSC相关的术后发病率增加.
- 建议进行进一步的前性研究,以探索影响LSC结果的患者特定因素.
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