儿童腹腔镜手术中用于固定阑尾残端的聚合物夹与内镜圈套器应用的比较。
A comparison of polymer clips and endoloop applications for securing the appendiceal stump during laparoscopic surgery in children.
作者信息
Akbiyik Fatih, Senel Emrah, Bayram-Kabacam Gülşah, Demirkan Hasan, Atayurt Halil, Tiryaki Tuğrul
机构信息
Diskapi Children's Educating and Research Hospital, Clinic of Pediatric Surgery, Ankara, Turkey.
出版信息
Surg Laparosc Endosc Percutan Tech. 2011 Oct;21(5):349-52. doi: 10.1097/SLE.0b013e31822d68ca.
INTRODUCTION
In this study, for the first time in children a polymer clip and endoloop (EL) for securing an appendiceal stump have been prospectively correlated and evaluated radiologically.
METHODS
Forty-nine patients aged 1 to 15 years were operated upon by the same surgeon for acute or perforated appendicitis between May 2008 and May 2009. The appendiceal stump was ligated by an EL or polymer clip. Patients were radiologically evaluated during the postoperative period.
RESULTS
In the EL group, the mean operating time for perforated appendicitis was recorded as 57.40 minutes and in nonperforated appendicitis as 39.37 minutes, respectively. In the clips-applied group, these periods were 48.23 and 34.72 minutes, respectively. Clip application is 3 times cheaper than EL.
CONCLUSIONS
Polymer clip is an instrument that is cheaper, safe, easily applicable, and takes less time for securing appendiceal stumps compared with EL.
引言
在本研究中，首次在儿童中对用于固定阑尾残端的聚合物夹和内镜套圈（EL）进行了前瞻性关联并进行放射学评估。
方法
2008年5月至2009年5月期间，同一位外科医生对49例年龄在1至15岁之间的患者进行了急性或穿孔性阑尾炎手术。阑尾残端用内镜套圈或聚合物夹结扎。术后对患者进行放射学评估。
结果
在内镜套圈组中，穿孔性阑尾炎的平均手术时间记录为57.40分钟，非穿孔性阑尾炎为39.37分钟。在应用夹子组中，这些时间分别为48.23分钟和34.72分钟。应用夹子的成本比内镜套圈便宜3倍。
结论
与内镜套圈相比，聚合物夹是一种更便宜、安全、易于应用且固定阑尾残端所需时间更短的器械。
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