腹腔镜胆囊切除术患者术孔部位感染的频率

S. Faris, MH Safi
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引用次数: 0

摘要

腹腔镜胆囊切除术是治疗胆结石的常见外科手术。虽然被认为是微创手术,但端口部位感染(PSI)仍然是一个令人担忧的问题,可能会影响患者的治疗效果和恢复时间。了解与 PSI 相关的频率和风险因素对于改善手术操作和患者安全至关重要。目的评估接受腹腔镜胆囊切除术的患者发生端口部位感染的频率。方法:在美国、加拿大、英国、法国、德国、意大利、日本、韩国和中国进行横断面研究:于 2024 年 1 月 2 日至 2024 年 4 月 2 日在外科进行了一项横断面研究。研究共纳入 120 名接受腹腔镜胆囊切除术的患者。患者的平均年龄为 34.30 ± 9.57 岁,平均体重指数为 25.32 ± 2.21 kg/m²。采用统计学方法确定了 PSI 的频率,并分析了其与 BMI 的关系,显著性水平设定为 P <0.05。结果显示PSI 发生率为 6.7%(120 例患者中有 8 例)。体重指数(BMI)的增加与 PSI 的发生有明显的关联(P = 0.005)。结论:在这项研究中,接受腹腔镜胆囊切除术的患者发生 PSI 的频率为 6.7%,这表明腹腔镜胆囊切除术相对安全。体重指数越高,发生 PSI 的风险就越高,这表明需要采取有针对性的策略来降低体重指数升高患者的 PSI 风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FREQUENCY OF PORT SITE INFECTION IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY
Laparoscopic cholecystectomy is a common surgical procedure for the treatment of gallstones. Although considered minimally invasive, port site infections (PSI) remain a concern, potentially impacting patient outcomes and recovery times. Understanding the frequency and risk factors associated with PSI is essential for improving surgical practices and patient safety. Objective: To assess the frequency of port site infection in patients undergoing laparoscopic cholecystectomy. Methods: A cross-sectional study was conducted in the surgery department from January 2, 2024, to April 2, 2024. The study enrolled 120 patients presenting for laparoscopic cholecystectomy. The mean age of the patients was 34.30 ± 9.57 years, and the mean BMI was 25.32 ± 2.21 kg/m². The frequency of PSI was determined, and its association with BMI was analysed using statistical methods, with a significance level set at P < 0.05. Results: The PSI frequency was 6.7% (8 out of 120 patients). There was a notable association between increasing BMI and the occurrence of PSI (P = 0.005). Conclusion: The frequency of PSI in patients undergoing laparoscopic cholecystectomy in this study was 6.7%, suggesting that the procedure is relatively safe for gallbladder removal. Higher BMI was significantly associated with an increased risk of PSI, indicating the need for targeted strategies to mitigate this risk in patients with elevated BMI.
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