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沙特人对阑尾切除术及其并发症的认知

Awareness of Appendectomy and Its Complications Among Saudis.

作者信息

AlSaleh Rehab, Kishta Ahmed J, Shamakh Abdulrhman A, Balamesh Adnan A, Alabaidy Mohamad H, Alsharari Nawaf A, Suleiman Suleiman I

机构信息

Obstetrics and Gynecology, Ibn Sina National College for Medical Studies, Jeddah, SAU.

Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU.

出版信息

Cureus. 2023 Oct 11;15(10):e46823. doi: 10.7759/cureus.46823. eCollection 2023 Oct.

DOI:10.7759/cureus.46823
PMID:37954733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10636530/
Abstract

BACKGROUND

Acute appendicitis is one of the most common surgical causes of acute abdominal pain in adults and children in the emergency department. It is treated by appendectomy by either an open or laparoscopic approach. Although laparoscopic appendectomy has been used for the last 35 years, there are still indications for an open approach in some cases.

OBJECTIVES

The aim of this study was to explore the awareness of the general population in Saudi Arabia of appendectomy according to the surgical approach.

METHODS

A cross-sectional survey using a questionnaire constructed by an expert based on Google Forms (Google, Mountain View, CA) was used from February to March 2022. Variables were demographical data, general knowledge, history of appendectomy, its surgical approach, and postoperative complications, if any.

RESULTS

The study included 162 participants. The awareness level of acute appendicitis was high (72.2%). History of appendectomy was almost 30% and was significantly more common in males than females (p = 0.045). The rate of postoperative complications showed a significant difference between open (4.3%) vs. laparoscopic approaches (8%) (p = 0.001).

CONCLUSION

Young, educated Saudis are aware of the importance of surgical intervention for acute appendicitis. However, further hospital-based studies are recommended concerning the role of the surgical approach and its various impacts on postoperative complications.

摘要

背景

急性阑尾炎是急诊科成人和儿童急性腹痛最常见的外科病因之一。它通过开放或腹腔镜手术进行阑尾切除术治疗。尽管腹腔镜阑尾切除术已应用了35年,但在某些情况下仍有开放手术的指征。

目的

本研究的目的是根据手术方式探讨沙特阿拉伯普通人群对阑尾切除术的认知情况。

方法

2022年2月至3月采用基于谷歌表单(谷歌,加利福尼亚州山景城)由专家构建的问卷进行横断面调查。变量包括人口统计学数据、一般知识、阑尾切除术史、手术方式以及术后并发症(如有)。

结果

该研究纳入了162名参与者。急性阑尾炎的知晓率较高(72.2%)。阑尾切除术史约为30%,男性明显比女性更常见(p = 0.045)。术后并发症发生率在开放手术(4.3%)和腹腔镜手术(8%)之间存在显著差异(p = 0.001)。

结论

年轻、受过教育的沙特人意识到急性阑尾炎手术干预的重要性。然而,建议进一步开展基于医院的研究,探讨手术方式的作用及其对术后并发症的各种影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048f/10636530/8a2f7ed8a88e/cureus-0015-00000046823-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048f/10636530/8a2f7ed8a88e/cureus-0015-00000046823-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048f/10636530/8a2f7ed8a88e/cureus-0015-00000046823-i01.jpg

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本文引用的文献

1
Ambulatory appendectomy for acute appendicitis: Can we treat all the patients? A prospective study of 451 consecutive ambulatory appendectomies out of nearly 2,000 procedures.急性阑尾炎的门诊阑尾切除术:我们能治疗所有患者吗?对近2000例手术中连续451例门诊阑尾切除术的前瞻性研究。
Surgery. 2023 May;173(5):1129-1136. doi: 10.1016/j.surg.2023.01.003. Epub 2023 Feb 10.
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Parental Knowledge of Appendicitis and Preference for Operative or Non-Operative Treatment at a United Kingdom Children's Hospital.英国一家儿童医院家长对阑尾炎的认知以及对手术或非手术治疗的偏好
Children (Basel). 2022 Aug 9;9(8):1191. doi: 10.3390/children9081191.
3
Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy.
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.
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Diagnosis of Uncomplicated and Complicated Appendicitis in Adults.成人单纯性和复杂性阑尾炎的诊断。
Scand J Surg. 2021 Jun;110(2):170-179. doi: 10.1177/14574969211008330. Epub 2021 Apr 14.
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Long-term effects of appendectomy in humans: is it the optimal management of appendicitis?人类阑尾切除术的长期影响:它是阑尾炎的最佳治疗方法吗?
Expert Rev Gastroenterol Hepatol. 2021 Jun;15(6):657-664. doi: 10.1080/17474124.2021.1868298. Epub 2021 Jan 4.
6
Comparison of Open Appendectomy and Laparoscopic Appendectomy in Perforated Appendicitis.穿孔性阑尾炎的开腹阑尾切除术与腹腔镜阑尾切除术的比较
Cureus. 2019 Jul 9;11(7):e5105. doi: 10.7759/cureus.5105.
7
Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis.腹腔镜阑尾切除术优于开腹手术治疗复杂阑尾炎。
Surg Endosc. 2019 Jul;33(7):2072-2082. doi: 10.1007/s00464-019-06746-6. Epub 2019 Mar 13.
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Laparoscopic versus open surgery for suspected appendicitis.腹腔镜手术与开放手术治疗疑似阑尾炎
Cochrane Database Syst Rev. 2018 Nov 28;11(11):CD001546. doi: 10.1002/14651858.CD001546.pub4.
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Should ambulatory appendectomy become the standard treatment for acute appendicitis?经腹式阑尾切除术是否应成为急性阑尾炎的标准治疗方法?
World J Emerg Surg. 2018 Jun 28;13:28. doi: 10.1186/s13017-018-0191-4. eCollection 2018.
10
Abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis.对于复杂性阑尾炎行开腹阑尾切除术后,行腹腔引流以预防腹腔内脓肿。
Cochrane Database Syst Rev. 2018 May 9;5(5):CD010168. doi: 10.1002/14651858.CD010168.pub3.