[急诊手术中的腹腔镜干预(文献综述)]。

Q4 Medicine
E K Salakhov, A P Vlasov, O V Markin, N S Sheiranov, A A Alagulov, K M Dukhovnova
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引用次数: 0

摘要

腹腔镜检查越来越多地用于急诊手术,显示出比开放干预有几个优点。材料和方法:检索PubMed、MEDLINE、RSCI、CyberLeninka数据库,对2018-2023年的文献进行系统综述。选择腹腔镜在急性腹部外科疾病中的应用研究33项。结果:在腹腔镜治疗急性阑尾炎、胆囊炎和妇科病理方面获得了最令人信服的资料。越来越多的研究证实了腹腔镜在肠梗阻、溃疡穿孔和腹部创伤中的有效性。许多出版物表明,与开放式手术相比,腹腔镜手术后并发症发生率降低,疼痛减轻,治疗和康复时间缩短。同时指出,该方法在实践中的整合不足,缺乏明确的患者选择标准,需要进一步规范化。结论:在许多紧急手术情况下,应考虑腹腔镜手术;然而,为了在急诊外科的常规实践中更广泛地实施,需要进一步研究和制定统一的协议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Laparoscopic interventions in urgent surgery (literature review)].

Laparoscopy is increasingly used in emergency surgery, demonstrating several advantages over open interventions.

Material and methods: A systematic literature review for 2018-2023 was performed, searching PubMed, MEDLINE, RSCI, CyberLeninka databases. 33 studies on the use of laparoscopy in acute surgical abdominal diseases were selected.

Results: The most convincing data have been obtained regarding laparoscopic treatment of acute appendicitis, cholecystitis, and gynecological pathology. There is a growing number of studies confirming the effectiveness of laparoscopy in intestinal obstruction, perforated ulcers, and abdominal trauma. Numerous publications indicate a reduction in the complication rate, decreased pain, shortened treatment and rehabilitation time after laparoscopic surgeries compared to open ones. At the same time, insufficient integration of the method into practice, lack of clear patient selection criteria, and the need for further standardization are noted.

Conclusion: Laparoscopy should be considered as the method of choice in many urgent surgical conditions; however, further study and development of uniform protocols are required for wider implementation into the routine practice of emergency surgery.

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来源期刊
Khirurgiya
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
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