腹腔镜与杀小肠阻塞的开放方法:一个倾向性得分匹配的分析
Toshimichi Kobayashi1, Ryota Suda1, Hiroki Yamaguchi1
1Department of Digestive and Transplantation Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan.
World journal of surgery
|February 3, 2026
概括
对于小肠阻塞 (SSBO) 的腹腔镜手术可以减少术后并发症. 然而,以前经历过腹部手术的患者可能需要转换为开放手术.
科学领域:
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
- 手术紧急情况 手术紧急情况
背景情况:
- 腹腔镜手术越来越多地用于腹部紧急情况.
- 关于其用于窒息小肠阻塞 (SSBO) 的应用存在有限的数据.
研究的目的:
- 评估腹腔镜手术对SSBO的疗效和安全性.
- 为了比较腹腔镜和SSBO的开放手术之间的结果.
主要方法:
- 单一中心对123名接受SSBO紧急手术的患者进行了回顾性研究.
- 倾向分数匹配 (PSM) 来比较腹腔镜和开放手术组.
- 后勤回归分析,以确定与腹腔镜到开放转换相关的因素.
主要成果:
- 腹腔镜手术组的术后并发症显著较低 (克拉维恩-丁多等级≥II) (7.4%与29.6%相比).
- 转换为开放式手术发生在25.6%的腹腔镜病例中.
- 以前的腹腔切除术和胃肠道手术史是转换的重要预测因素.
结论:
- 对于SSBO的 laparoscopic手术与较少的术后并发症有关.
- 建议对患者进行仔细的选择,并考虑在以前经历过腹部手术的患者中进行潜在的转换.
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