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本文引用的文献

1
Legal & ethical dilemmas in incidental findings during surgery: Review article.手术中偶然发现的法律和伦理困境:综述文章。
Int J Surg. 2020 Mar;75:107-113. doi: 10.1016/j.ijsu.2020.01.141. Epub 2020 Jan 31.
2
STROCSS 2019 Guideline: Strengthening the reporting of cohort studies in surgery.STROCSS 2019 指南:加强外科学队列研究报告。
Int J Surg. 2019 Dec;72:156-165. doi: 10.1016/j.ijsu.2019.11.002. Epub 2019 Nov 6.
3
Incidental findings during a surgical procedure-patient and public perspectives.手术过程中的偶然发现——患者及公众视角
N Z Med J. 2018 Feb 2;131(1469):20-31.
4
Incidental findings during a surgical procedure-current practice and ethical implications.手术过程中的偶然发现——当前实践与伦理意义
N Z Med J. 2018 Feb 2;131(1469):10-19.
5
Gastric mesenchymal tumors as incidental findings during Roux-en-Y gastric bypass.胃旁路术后 Roux-en-Y 偶然发现胃间质瘤。
Surg Obes Relat Dis. 2018 Jan;14(1):23-28. doi: 10.1016/j.soard.2017.07.028. Epub 2017 Jul 29.
6
Incidental Finding of Gastrointestinal Stromal Tumors during Laparoscopic Sleeve Gastrectomy in Obese Patients.肥胖患者腹腔镜袖状胃切除术中胃肠道间质瘤的意外发现
Obes Surg. 2017 Aug;27(8):2022-2025. doi: 10.1007/s11695-017-2583-z.
7
Incidental findings in surgery.手术中的偶然发现。
Br J Surg. 2015 Apr;102(5):433-5. doi: 10.1002/bjs.9719. Epub 2015 Feb 23.
8
Intraoperative management of renal allograft venous-calyceal fistula and incidental renal cell carcinoma during renal transplantation: a case report.肾移植术中同种异体肾静脉-肾盏瘘及偶然发现的肾细胞癌的处理:1例报告
Transplant Proc. 2013 Nov;45(9):3421-3. doi: 10.1016/j.transproceed.2013.07.058.
9
Unexpected intra-operative findings.意外的术中发现。
Surg Clin North Am. 2013 Feb;93(1):45-59. doi: 10.1016/j.suc.2012.09.008. Epub 2012 Oct 22.
10
Inguinal herniae: Valuable clues to concurrent abdominal pathology: A series of case studies describing unusual findings in 'routine' hernia operations which demonstrate the need for thorough surgical training.腹股沟疝:并发腹部病变的重要线索:一系列病例研究描述了“常规”疝手术中的异常发现,这些发现表明需要进行全面的外科培训。
Int J Surg Case Rep. 2011;2(7):198-200. doi: 10.1016/j.ijscr.2011.05.006. Epub 2011 Jun 25.

腹部手术中偶然发现的困境:一项横断面研究。

The dilemma of incidental findings in abdominal surgery: A cross-sectional study.

作者信息

Shebli Baraa, Rahmeh Ahmad Rami, Khalili Joud, Sawas Joudi, Fares Hala Mohamed, Ayoub Kusay

机构信息

Department of Cardiology, Aleppo University Hospital, Aleppo, Syria.

Department of Ophthalmology, Aleppo University Hospital, Aleppo, Syria.

出版信息

Ann Med Surg (Lond). 2022 Aug 27;81:104470. doi: 10.1016/j.amsu.2022.104470. eCollection 2022 Sep.

DOI:10.1016/j.amsu.2022.104470
PMID:36147183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9486740/
Abstract

INTRODUCTION

Despite the recent development in diagnostic techniques, many surgeons experience unexpected findings during the course of surgery. We aim to examine the incidence of all IFs in abdominal surgery -laparoscopy or laparotomy- and identify possible associations.

METHODS

This study is a cross-sectional study conducted in Aleppo University Hospital - Department of Surgery. We collected patients' data who underwent abdominal surgery during the period of the two-consecutive years 2018-2019.

RESULTS

The data revealed detection of incidental findings during abdominal surgery -which included proper inspection of peritoneal cavity-in 6 out 543 cases (1.1%), whereas only one case included a misdiagnosis event (0.2%).

CONCLUSION

Epidemiological information about IFs in abdominal surgery can be extremely useful for the surgeons on various aspects, and can assist them with being more prepared for the surgery and the possible unexpected lesions that might be encountered. We strongly recommend that further studies with larger numbers of participants are conducted as they can provide more generalizable data.

摘要

引言

尽管近期诊断技术有所发展,但许多外科医生在手术过程中仍会遇到意外发现。我们旨在研究腹部手术(腹腔镜手术或开腹手术)中所有意外发现的发生率,并确定可能的关联。

方法

本研究是在阿勒颇大学医院外科进行的一项横断面研究。我们收集了2018 - 2019年连续两年接受腹部手术患者的数据。

结果

数据显示,在543例腹部手术病例中(包括对腹腔的适当检查),有6例发现了意外情况(1.1%),而只有1例出现误诊事件(0.2%)。

结论

关于腹部手术中意外发现的流行病学信息在多个方面对外科医生极为有用,可帮助他们为手术及可能遇到的意外病变做好更充分准备。我们强烈建议开展更多参与者的进一步研究,因为这样能提供更具普遍性的数据。