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肥胖症患者的阑尾切除术:腹腔镜与传统技术。

Appendectomy in Patients with Morbid Obesity: Laparoscopic versus Conventional Technique.

机构信息

Department of General Surgery, Yozgat Bozok University Faculty of Medicine, Yozgat, Turkey.

出版信息

Med Sci Monit. 2020 Dec 8;26:e928067. doi: 10.12659/MSM.928067.

DOI:10.12659/MSM.928067
PMID:33335087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7733308/
Abstract

BACKGROUND Our aim was to determine the optimum appendectomy technique in patients with morbid obesity by evaluating laparoscopic appendectomy (LA) and open appendectomy (OA) operations performed in these patients. MATERIAL AND METHODS The records of 2179 patients who underwent appendectomy for acute appendicitis between January 2010 and April 2019 were evaluated retrospectively. Patients were excluded for the following: age.

摘要

背景

本研究旨在通过评估肥胖患者行腹腔镜阑尾切除术(LA)和开腹阑尾切除术(OA)的手术效果,明确肥胖患者中最佳的阑尾切除术技术。

材料和方法

回顾性分析 2010 年 1 月至 2019 年 4 月期间因急性阑尾炎行阑尾切除术的 2179 例患者的临床资料。排除标准:年龄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b73f/7733308/5a071997ab73/medscimonit-26-e928067-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b73f/7733308/5a071997ab73/medscimonit-26-e928067-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b73f/7733308/5a071997ab73/medscimonit-26-e928067-g001.jpg

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本文引用的文献

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Health Effects of Overweight and Obesity in 195 Countries over 25 Years.25年间195个国家超重和肥胖对健康的影响
N Engl J Med. 2017 Jul 6;377(1):13-27. doi: 10.1056/NEJMoa1614362. Epub 2017 Jun 12.
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The Global Incidence of Appendicitis: A Systematic Review of Population-based Studies.全球阑尾炎发病率:基于人群的系统综述研究。
Ann Surg. 2017 Aug;266(2):237-241. doi: 10.1097/SLA.0000000000002188.
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Surgical site infection after laparoscopic and open appendectomy: a multicenter large consecutive cohort study.腹腔镜与开腹阑尾切除术后手术部位感染:一项多中心大型连续队列研究
肥胖患者行腹腔镜与开腹阑尾切除术的结局和生活质量比较。
BMC Surg. 2022 Jul 23;22(1):282. doi: 10.1186/s12893-022-01732-7.
Surg Endosc. 2015 Jun;29(6):1384-93. doi: 10.1007/s00464-014-3809-y. Epub 2014 Oct 11.
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Laparoscopic vs open appendectomy in obese patients: outcomes using the American College of Surgeons National Surgical Quality Improvement Program database.腹腔镜与开腹阑尾切除术治疗肥胖患者的比较:美国外科医师学会国家手术质量改进计划数据库的结果。
J Am Coll Surg. 2012 Jul;215(1):88-99; discussion 99-100. doi: 10.1016/j.jamcollsurg.2012.03.012. Epub 2012 May 24.
5
Evidence to support the use of laparoscopic over open appendicectomy for obese individuals: a meta-analysis.腹腔镜阑尾切除术优于开腹阑尾切除术治疗肥胖患者的证据:一项荟萃分析。
Surg Endosc. 2012 Sep;26(9):2566-70. doi: 10.1007/s00464-012-2233-4. Epub 2012 Mar 22.
6
Trend, variability, and outcome of open vs. laparoscopic appendectomy based on a large administrative database.基于大型管理数据库的开腹与腹腔镜阑尾切除术的趋势、变异性和结果。
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7
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