以一种简单的方式隐藏痕:在良性附带性疾病中进行跨单位双切口腹腔镜手术
Peng Yuan1, Jiejing Zhou2, Yan Nan3
1Department of Gynecology, Northwest Women's and Children's Hospital (Shaanxi Provincial Maternity and Child Health Care Hospital), NO.1616 Yanxiang Road, Xi'an, Shaanxi, China. ypfmmu@foxmail.com.
Surgical endoscopy
|February 6, 2026
概括
使用常规仪器进行跨单位双切口 (SSDI) 手术是对良性副疾病的标准拉巴内镜单位手术 (LESS) 的成本效益较高的替代方案. SSDI提供了可比的化品结果和外科效率,使单位腹腔镜更容易获得.
科学领域:
- 最少侵入性的妇科手术
- 手术创新 在外科创新.
- 医疗保健的成本效益在医疗保健中的成本效益
背景情况:
- 拉巴内镜单位手术 (LESS) 提供了美容效益,但在切口关闭和设备成本方面面临挑战.
- 穿单位双切 (SSDI) 使用常规的仪器和技术,可能克服 LESS 的局限性.
- 患者报告的LESS的美容满意度仍然模糊,阻碍了更广泛的采用.
研究的目的:
- 为了比较手术结果和美容满意度之间的跨SSDI和标准LESS对于良性附性疾病.
- 通过使用常规仪器评估SSDI的可行性和经济优势.
- 评估SSDI在资源有限的环境中提高单位手术的可访问性方面的潜力.
主要方法:
- 对116名患有良性附带性疾病的患者进行了回顾性分析.
- 使用常规仪器和标准LESS (n=64) 的跨子SSDI (n=52) 的比较.
- 评估手术时间,接时间,成本和患者报告的化品结果.
主要成果:
- 在88.5%的病例中,SSDI保留了沟的完整性,简化了关闭.
- 与LESS (P<0.001) 相比,SSDI的操作时间 (44.6分钟与56.8分钟相比) 和接时间 (3.6分钟与15.4分钟相比) 显著缩短 (P<0.001).
- SSDI导致医院费用显著降低 (9,137.4对11,920.2元人民币,P<0.001),可比的美容满意度和其他并发症没有显著差异.
结论:
- 通过常规仪器进行的穿式SSDI是一种技术上可行的,成本效益高的替代方案,用于治疗良性附带性疾病.
- "回归基础"的SSDI方法提高了单位腹腔镜的可访问性,特别是在资源有限的环境中.
- SSDI提供与LESS可比的化品效果,解决了患者的一个关键问题,同时降低了成本.
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