仅靠 LigaSure 是否足以封闭阑尾残端?

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI:10.1177/15533506241234005
Deniz Tazeoglu, Ahmet Cem Esmer
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引用次数: 0

摘要

目的:腹腔镜阑尾切除术必须关闭阑尾残端。阑尾残端闭合过程中出现的问题会导致严重的发病率。目前已有多种阑尾残端闭合方法。本研究旨在探讨单独使用 LigaSure 是否足以关闭阑尾残端:方法:对 2021 年 10 月至 2022 年 1 月期间诊断为急性阑尾炎并接受手术的患者进行回顾性评估。根据阑尾残端血钳(I组)和LigaSure(II组)的闭合技术将患者分为两组。此外,研究还记录了患者的人口统计学数据(年龄、性别)、体重指数(BMI)、有无合并症、阑尾炎围手术期分类、手术时间、术后住院时间、阑尾的放射学和病理学大小。Clavien Dindo用于术后并发症评估:研究共纳入 77 名患者。48(62.3%)名患者属于第一组,29(37.7%)名患者属于第二组。两组患者在年龄、性别分布、体重指数、有无合并症等方面无统计学差异(P>0.05)。第一组的手术时间长于第二组(P < .001)。两组在阑尾的放射学和病理学大小方面没有差异。在术后并发症和并发症严重程度方面,组间无统计学差异(P = .76,P = .99):结论:阑尾残端闭合术可以使用 Ligasure 进行,但需要注意的是,这种手术只适用于部分患者,如研究组中的患者,而非所有患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is LigaSure Alone Sufficient for the Closure of the Appendix Stump?

Purposes: Closure of the appendix stump is necessary for laparoscopic appendectomy. Problems that occur during the appendix stump closure can cause severe morbidity. Several methods of stump closure have been described. This study aimed to investigate the adequacy of LigaSure alone in closing the appendix stump.

Methods: Patients who were operated on with the diagnosis of acute appendicitis between October 2021 and January 2022 were evaluated retrospectively. The patients were divided into two groups according to the closure technique of the appendix stump hemoclip(group I) and LigaSure only(group II). In addition, demographic data (age, gender), body mass index (BMI), presence of comorbid disease, perioperative appendicitis classification, operation time, postoperative hospital stay, radiological and pathological appendix size of the patients included in the study were recorded. Clavien Dindo was used for postoperative complication assessment.

Result: The study included 77 patients. 48(62.3%) of the patients were in group I, and 29(37.7%) were in group II. There was no statistical difference between the groups regarding age, gender distribution, BMI, presence of comorbid disease (P > .05). The operation time of group I was longer than group II (P < .001). There was no difference between the groups in terms of both radiological and pathological appendix size. There was no statistical difference between the groups regarding postoperative complications and severity of complications (P = .76, P = .99, respectively).

Conclusion: Appendiceal stump closure can be performed with Ligasure, but it should be noted that this procedure can be performed on selected patients, as in the study group, not on all patients.

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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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