[Laparoscopic appendectomy in children: results of the all-Russian survey].

Q4 Medicine

Khirurgiya Pub Date : 2025-01-01 DOI:10.17116/hirurgia202509154

V P Gavrilyuk, I V Poddubny, D A Severinov, V V Sytkov, Yu A Zubkova, D A Baranov

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引用次数: 0

Abstract

Objective: To study opinions of pediatric surgeons on technical aspects of laparoscopic appendectomy in children.

Material and methods: An anonymous survey of surgeons was used as the main research method (Google Forms platform). Invitations were sent to specialized institutions (emergency pediatric surgery departments).

Results: The study involved 110 pediatric surgeons. Of these, 69% of respondents noted an unspoken rule about the need for only laparoscopic appendectomy. Laparoscopic appendectomies are more common in federal centers compared to regional ones. About 94% of respondents use three-port laparoscopic appendectomy. About 50% of respondents prefer bipolar cauterization for treating the mesentery of the vermiform appendix. Raeder loop is used for vermiform appendix base closure by 97% of respondents.

Conclusion: This survey revealed significant differences in the choice of surgical approach, treating the mesentery and the base of the appendix, material, equipment and other key tactical aspects among specialists. This requires further study of standardization of this intervention.

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儿童腹腔镜阑尾切除术：全俄调查结果。

目的：探讨小儿外科医生对儿童腹腔镜阑尾切除术的技术意见。材料与方法：以外科医生匿名调查为主要研究方法（谷歌Forms平台）。向专科机构（小儿外科急诊科）发出邀请。结果：该研究涉及110名儿科外科医生。其中，69%的受访者指出，只有腹腔镜阑尾切除术的必要性是一条潜规则。与地区中心相比，腹腔镜阑尾切除术在联邦中心更为常见。约94%的受访者使用三孔腹腔镜阑尾切除术。约50%的应答者倾向于双极烧灼治疗蚓状阑尾肠系膜。97%的应答者使用雷德尔环作为蚓状阑尾基部闭合。结论：本调查显示专科医师在手术入路选择、肠系膜及阑尾基底处理、材料、设备等关键战术方面存在显著差异。这需要进一步研究这种干预的标准化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень