腹腔镜阑尾切除术在腹部手术患者中的安全性和有效性

IF 0.2 Q4 SURGERY Formosan Journal of Surgery Pub Date : 2023-03-31 DOI:10.1097/FS9.0000000000000050
Deniz Tazeoğlu, S. Benli, A. Esmer
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引用次数: 0

摘要

背景虽然腹腔镜阑尾切除术是急性阑尾炎的标准治疗方法,但通常根据个人的观点来决定是采用腹腔镜手术还是常规手术。影响这种个人观点的原因包括疾病是否复杂、医院的基础设施、患者的合并症因素和既往腹部手术。本横断面回顾性研究旨在评估有可能诊断为“阑尾炎”的既往腹部手术患者行腹腔镜阑尾切除术的安全性。方法回顾性分析我院2021年3月至2022年3月间诊断为急性阑尾炎的手术患者。患者分为有腹部手术史的患者(1组)和没有腹部手术史的患者(2组)。此外,记录患者的人口统计学资料(年龄、性别)、体重指数、合并症的存在、腹部手术史、手术时间、转开腹手术率、术后住院时间、并发症、放射学和病理学阑尾大小。结果共纳入181例患者。平均年龄32.51±15.89岁。其中女性70例(38.7%),男性111例(61.3%)。1组34例(18.8%),2组111例(81.2%)。1组患者的平均年龄、体重指数、手术时间均显著高于2组(P < 0.001)。然而,两组在术后住院时间、放射学和病理阑尾大小、转开腹手术以及并发症的存在和严重程度方面没有差异(P < 0.05)。结论:与作者在他们的研究中显示的数据一致,腹腔镜阑尾切除术可以安全地用于接受腹部手术的患者。因此,当外科医生看到腹部切口时,他们不应该偏离腹腔镜阑尾切除术。
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Safety and effectiveness of laparoscopic appendectomy in patients undergoing abdominal surgery
Abstract Background Although laparoscopic appendectomy is the criterion-standard treatment method for acute appendicitis, the decision on laparoscopic or conventional technique is usually made according to individual perspectives. The reasons affecting this individual point of view include whether the disease is complicated, the infrastructure of the hospital, the patient's comorbid factors, and previous intra-abdominal operations. This cross-sectional retrospective study aimed to evaluate the safety of laparoscopic appendectomy in patients with a possible diagnosis of “appendicitis” in patients who had undergone previous abdominal surgery. Methods Patients who were operated on with the diagnosis of acute appendicitis in our clinic between March 2021 and March 2022 were retrospectively analyzed. Patients were grouped as those with a history of abdominal surgery (group 1) and without (group 2). In addition, demographic data of the patients (age, sex), body mass index, presence of comorbid disease, history of abdominal surgery, operation time, rate of conversion to open surgery, postoperative hospital stay, complications, and radiological and pathological appendix size were recorded. Results A total of 181 patients were included in the study. The mean age was 32.51 ± 15.89 years. Seventy (38.7%) of the patients were female, and 111 (61.3%) were male. Thirty-four patients (18.8%) were in group 1, and 111 patients (81.2%) were in group 2. The mean age, body mass index, and operation time in group 1 were statistically higher than in group 2 (P < 0.001). However, there was no difference between the groups regarding postoperative hospital stay, radiological and pathological appendix size, conversion to open surgery, and presence and severity of complications (P > 0.05). Conclusion In line with the data the authors have shown in their study, a laparoscopic appendectomy can be performed safely in patients who have undergone abdominal surgery. Therefore, surgeons should not stray from a laparoscopic appendectomy when they see an abdominal incision.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
11 weeks
期刊介绍: Formosan Journal of Surgery, a publication of Taiwan Surgical Association, is a peer-reviewed online journal with Bimonthly print on demand compilation of issues published. The journal’s full text is available online at http://www.e-fjs.org. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.
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