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单孔腹腔镜阑尾切除术与传统腹腔镜及开腹阑尾切除术效果相当:我们单中心单术者的经验

Single-incision laparoscopic appendectomy is comparable to conventional laparoscopic and laparotomic appendectomy: our single center single surgeon experience.

作者信息

Ceci F, Orsini S, Tudisco A, Avallone M, Aiuti F, Di Girolamo V, Stefanelli F, De Angelis F, Martellucci A, Costantino A, Di Grazia C, Nicodemi S, Cipriani B, Napoleoni A, Mosillo R, Corelli S, Casciaro G, Spaziani E, Stagnitti F

出版信息

G Chir. 2013 Jul-Aug;34(7-8):216-9. doi: 10.11138/gchir/2013.34.7.216.

Abstract

Several studies have demonstrated the clinical and technical benefits of the laparoscopic surgery for complicated and uncomplicated appendicitis. Our retrospective study included 12 patient who underwent SILS appendectomy (SILS-A), 14 who received conventional laparoscopic surgery (VL-A), and 12 who received laparotomic appendectomy (OA); performed in all cases by the same surgeon (C.F.). The aim of this study was the comparison between this three different surgical techniques on same features: post operative leukocytosis, post operative pain, need abdominal drainage, esthetic viewpoint, incidence of complication, hospital stay. The results showed no significant differences between SILS-A and VLS-A, while an evident improvement shows versus O-A, even though not statistically significative. SILS was more effective in decreasing the risk of postoperative wound infection.

摘要

多项研究已证明腹腔镜手术治疗复杂性和非复杂性阑尾炎在临床和技术方面的益处。我们的回顾性研究纳入了12例行单孔腹腔镜阑尾切除术(SILS - A)的患者、14例行传统腹腔镜手术(VL - A)的患者以及12例行开腹阑尾切除术(OA)的患者;所有病例均由同一位外科医生(C.F.)实施。本研究的目的是比较这三种不同手术技术在相同特征方面的情况:术后白细胞增多、术后疼痛、是否需要腹腔引流、美观度、并发症发生率、住院时间。结果显示SILS - A和VLS - A之间无显著差异,而与O - A相比有明显改善,尽管无统计学意义。SILS在降低术后伤口感染风险方面更有效。

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