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.
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.
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。
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