赞比亚大学教学医院腹腔镜阑尾切除术结果的测定

R. Parekh, Hanna Habib
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摘要

几项研究表明腹腔镜阑尾切除术在治疗急性阑尾炎中的优越性。在大学教学医院(UTH),急性阑尾炎的唯一治疗方法是开腹阑尾切除术。这是第一个在UTH用腹腔镜治疗急性阑尾炎的研究。本研究旨在确定腹腔镜阑尾切除术在UTH的结果。材料和方法:这是一项前瞻性队列研究,包括诊断为急性无并发症阑尾炎的患者。2015年8月至2016年3月期间入院的所有患者均纳入研究。变量分析包括患者资料(年龄、性别、既往手术、白细胞计数、症状、体征、症状)、手术时间、术中术后并发症和住院时间。结果:研究期间共施行腹腔镜阑尾切除术9例。患者平均年龄31.8岁,以女性为主(70%)。1例转为开腹阑尾切除术,未纳入腹腔镜数据组。该手术的平均手术时间为75.5分钟(范围50-110分钟)。住院时间平均为2.3天(范围2-3天)。研究中的患者在随访期间没有出现并发症。在研究期间,没有患者出现腹内脓肿。结论:本院腹腔镜阑尾切除术治疗无并发症急性阑尾炎的手术效果较好,可作为区域统计的参考点。对于无并发症的阑尾炎或诊断不明确的患者,它可能是首选。腹腔镜阑尾切除术是推荐的,特别是对于年轻的女性患者在我们的设置。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determination of the Outcomes of Laparoscopic Appendecectomies at the University Teaching Hospital, Zambia
Introduction: Several studies have demonstrated the superiority of Laparoscopic appendicectomy in managing acute appendicitis. Acute appendicitis has been managed solely by open appendicectomy at the University Teaching Hospital (UTH). This was the first study that looked at the management of acute appendicitis by laparoscopy at UTH. This study aimed to determine the outcomes of laparoscopic appendicectomy at UTH. Materials and Methods: This was a prospective cohort study that included patients that were diagnosed with acute uncomplicated appendicitis. All patients admitted between August 2015 to March 2016 were included in the study. Variables analyses were patient’s data (age, gender, previous surgery, WBC count, symptoms, signs, symptoms), operating time, intra\post operative complications, and length of stay. Results: A total of 9 laparoscopic appendicectomies were performed during the study period. The patients had an average age of 31.8 years and were predominantly female (70%). One case was converted to open appendicectomy and was not included in the laparoscopic data group. The mean operative time for the procedure was 75.5 min (range 50-110min). The length of stay was on average 2.3 days (range 2-3 days). The patients in the study had no complications noted during the follow-up period. No patient developed an intraabdominal abscess during the study period. Conclusion: Laparoscopic appendicectomy for uncomplicated acute appendicitis resulted in good surgical outcomes in this institution compared to the regional statistics as a reference point. It may be preferred in patients presenting with uncomplicated appendicitis or where the diagnosis is equivocal. Laparoscopic appendicectomy is recommended, especially for the young female patients in our setting.
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