Basunbul Lama Islem, Alhazmi Lenah Sulaiman S, Almughamisi Shahad Amro, Aljuaid Najd Muhammed, Rizk Hisham, Moshref Rana
Surgery Department, King Abdulaziz University, Jeddah, SAU.
Surgery Department, University of Jeddah, Jeddah, SAU.
Cureus. 2022 Feb 15;14(2):e22246. doi: 10.7759/cureus.22246. eCollection 2022 Feb.
The benefits of laparoscopic surgery (LS) include a speedy recovery, shorter duration of hospital stay, minimal postoperative pain, discomfort and disabilities, and better cosmetic outcomes (less scarring) that help an individual to resume normal daily activities and return to work. A comprehensive literature search on laparoscopic surgeries was conducted using different Internet-based search engines and databases from August 2021 to October 2021. The search was limited to articles published in the English language and those published between years 2005 and 2021. A total of 126 articles were initially identified. Two independent reviewers thoroughly examined the quality and content of the articles. Articles with duplicate data were excluded, and the remaining articles were screened and assessed by the titles and abstracts. After a vigorous assessment, we included data from 49 articles for this review process. Bibliographic management was done using the software "EndNote" (Thomson Reuters, New York, NY, USA). It was concluded that LS has become the technique of choice for virtually every kind of abdominal surgery, evident by numerous scholarly publications in this field. Level I evidence demonstrating the advantage of LS over open surgery has been reported for numerous operations, including fundoplication for gastroesophageal regurgitation disease, bariatric surgery for weight loss, and cancer resection. Advanced LS has subsequently been expanded to include hepatectomy, pancreatectomy, urology, and gynecology. Patients who are at risk of having elevated abdominal pressure during LS, however, should proceed with care. Recent advances in natural orifice transluminal endoscopic surgery, single-incision laparoscopic surgery, and robot-assisted laparoscopic surgery are promising.
腹腔镜手术(LS)的益处包括恢复迅速、住院时间缩短、术后疼痛、不适和功能障碍降至最低,以及具有更好的美容效果(疤痕更少),这有助于患者恢复正常日常活动并重返工作岗位。2021年8月至2021年10月,我们使用不同的基于互联网的搜索引擎和数据库,对腹腔镜手术进行了全面的文献检索。检索仅限于以英文发表的文章以及2005年至2021年间发表的文章。初步共识别出126篇文章。两名独立评审员对文章的质量和内容进行了全面审查。排除重复数据的文章,其余文章通过标题和摘要进行筛选和评估。经过严格评估,我们纳入了49篇文章的数据用于本综述过程。使用软件“EndNote”(美国纽约州纽约市汤森路透公司)进行文献管理。结果表明,腹腔镜手术已成为几乎各类腹部手术的首选技术,该领域众多学术出版物证明了这一点。对于包括胃食管反流病的胃底折叠术、减肥的减重手术以及癌症切除术在内的众多手术,已有一级证据表明腹腔镜手术优于开放手术。先进的腹腔镜手术随后已扩展至包括肝切除术、胰腺切除术、泌尿外科手术和妇科手术。然而,在腹腔镜手术期间有腹部压力升高风险的患者应谨慎行事。自然腔道内镜手术、单切口腹腔镜手术和机器人辅助腹腔镜手术的最新进展很有前景。
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