Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy.
Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy.
Int J Surg. 2020 Feb;74:81-85. doi: 10.1016/j.ijsu.2019.12.033. Epub 2020 Jan 9.
In the new era of minimally invasive surgery, recent studies encouraged the adoption of endoscopic approaches as the most effective way to treat (pilonidal sinus disease) PSD but little is known about long-term results of minimally invasive procedures.
A total of 145 patients with chronic non recurrent pilonidal sinus were enrolled for this randomized controlled trial. The follow-up rate was 97% at 5 years for a total of 74 patients assigned to the minimally invasive treatment group and 67 patients assigned to the conventional Bascom cleft lift treatment group. We evaluated the following outcomes: long-term recurrence rate, patients' satisfaction, cosmetic outcome and cost-effectiveness results.
Long-term data confirm that the recurrence rate was similar in both groups and, in minimally invasive patients, there were a higher satisfaction and better cosmetic results. Costs analysis revealed improved outcome in favour of VAAPS with a much lower mean global cost.
Minimally invasive treatment has all the characteristics of an ideal approach to PSD with advantages including minimal patient inconveniences, high satisfaction and good aesthetics results. It was also more cost effective to carry out the treatment.
在微创外科的新时代，最近的研究鼓励采用内镜方法作为治疗（藏毛窦病）PSD 的最有效方法，但对于微创手术的长期结果知之甚少。
共有 145 名患有慢性非复发性藏毛窦的患者参加了这项随机对照试验。5 年随访率为 97%，共有 74 名患者被分配到微创治疗组，67 名患者被分配到传统的 Bascom 裂沟提升治疗组。我们评估了以下结果：长期复发率、患者满意度、美容效果和成本效益结果。
长期数据证实，两组的复发率相似，微创组患者满意度更高，美容效果更好。成本分析显示，VAAPS 的结果得到了改善，具有更低的全球平均成本。
微创治疗具有治疗 PSD 的理想方法的所有特点，包括患者不便最小化、高满意度和良好的美容效果。此外，治疗的成本效益也更高。
