腹腔镜胆囊切除术中由于渗漏引起的术后疼痛和其他并发症:三级保健医院的横断面研究

International Academic Research Journal of Surgery Pub Date : 2022-02-28 DOI:10.47310/iarjs.2022.v02i01.004

U. Sharma, M. Sharma

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引用次数: 0

摘要

背景:本研究旨在评估腹腔镜胆囊切除术中因渗漏引起的术后疼痛及其他并发症。材料与方法:本前瞻性研究在西姆拉医院IGMC普外科进行，纳入2011年7月至2012年3月连续100例经腹腔镜胆囊切除术的有症状胆结石患者，对胆囊穿孔进行研究。结果:本组患者以女性为主，年龄在31 ~ 40岁之间。手术当日无渗漏与有渗漏患者术后疼痛差异有统计学意义(p值=0.015)。术后第1天和第2天疼痛差异无统计学意义(p值= 0.101)。术后发热占3.09%，肠梗阻占2.06%。无渗漏和有渗漏患者发热和肠梗阻差异无统计学意义(p值分别为0.567和1)。随访1周时出现口岸感染的患者占1.03%，出现口岸严重分泌物的患者占2.06%。无渗漏患者与有渗漏患者的口部感染及口部浆液排出差异无统计学意义(p值分别为0.412和1)。2.06%的患者术后在莫里森眼袋中收集USG，未进行任何干预。无渗漏患者与有渗漏患者的差异无统计学意义(p值= 1)。结论:术后疼痛在手术当天差异显著，术后1、2天差异不显著。术后并发症为发热、肠梗阻、Port部位感染及Port部位严重分泌物。

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Postoperative pain and other complications due to spillage during laparoscopic cholecystectomy: A cross sectional study in a tertiary care hospital

Background: Present study was done to evaluate the postoperative pain and other complications due to spillage during laparoscopic cholecystectomy. Material and Methods: This prospective study was conducted in the Department of General Surgery, IGMC, Shimla. 100 consecutive patients of symptomatic gallstones with the documented gallstones undergoing laparoscopic cholecystectomy between July 2011 to March 2012 were included in the study and a study of gall bladder perforation was done. Results: Majority of patients in this study were females and were in age group of 31- 40 years. The difference in post-operative pain in patients without spillage and with spillage was significant on the day of surgery (p value=0.015). The difference in the pain was insignificant on 1st post-operative day (p value= 0.101) and on 2nd post operative day (p value= 0.567). Post-operatively fever was present in 3.09% of patients and ileus in 2.06% of patients. The difference in fever and ileus for patients without spillage and with spillage was insignificant (p value= 0.567 and 1 respectively). Port site infection at one week follow up was present in 1.03 % of patients and serous discharge from port site was present in 2.06 % of patients. The difference in port site infection and serous discharge from port site in patients without spillage and with spillage was insignificant (p value= 0.412 and 1 respectively). On post-operative USG collection in Morrison’s pouch was present in 2.06% of patients which settled without any intervention. The difference in patients without spillage and with spillage was insignificant (p value= 1). Conclusion: It was concluded the difference in post-operative pain was significant on the day of surgery while it was insignificant on 1st and 2nd post operative day. Post-operatively fever, ileus, Port site infection and serous discharge from port site was present as post operative complication.

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International Academic Research Journal of Surgery

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