Endoloop与LigaSure在小儿腹腔镜阑尾切除术中阑尾残端闭合:一项多中心前瞻性试验。

IF 1.1 4区 医学 Q3 SURGERY
Şenay Kurtuluş, Alev Süzen, Neslihan Kaya Terzi, Serkan Yaşar Çelik
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引用次数: 0

摘要

背景:阑尾残端闭合在腹腔镜阑尾切除术(LA)中至关重要,以防止残端泄漏和腹腔内脓肿形成等并发症。本研究旨在评估LigaSure™与Endoloop在小儿阑尾残端闭合中的安全性和有效性。方法:这项前瞻性多中心比较研究纳入了2021年5月至2023年10月在两家儿科外科诊所接受LA治疗的199名儿童患者。根据外科医生的术中偏好,将患者分为LigaSure组(n = 74)和Endoloop组(n = 125)。收集的数据包括人口统计学特征、实验室和放射学发现、术中细节、术后并发症以及阑尾和管腔直径的组织病理学测量。采用独立样本t检验和卡方检验进行统计学分析,P < 0.05为显著性。结果:年龄(P = 0.670)、性别(P = 0.439)、白细胞计数(P = 0.072)、c反应蛋白水平(P = 0.368)组间无显著差异。并发症阑尾炎在LigaSure组(12.2%)比Endoloop组(5.6%)更为普遍。两组均无腹内脓肿或残肢漏。组织病理学分析显示阑尾平均直径(LigaSure: 8.9±0.2 mm; Endoloop: 8.9±0.1 mm; P = .743)和管腔直径(P = .096)无显著差异。阑尾标本的最大管腔直径为5113 μm,最小管腔直径为255.6 μm (P = 0.096)。无腹内脓肿或残肢漏的病例报告。平均住院时间相当(LigaSure: 2±0.2天;Endoloop: 2±0.1天;P = 0.068)。结论:LigaSure™是一种安全有效的替代Endoloop的小儿阑尾残端闭合方法。该设备提供安全密封的能力使其成为可靠的选择,即使在复杂的阑尾炎病例中也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endoloop Versus LigaSure for Appendiceal Stump Closure in Pediatric Laparoscopic Appendectomy: A Multicenter Prospective Trial.

Background: Appendiceal stump closure is critical in laparoscopic appendectomy (LA) to prevent complications such as stump leakage and intra-abdominal abscess formation. This study aims to evaluate the safety and effectiveness of LigaSure™ versus Endoloop for appendiceal stump closure in pediatric LA. Methods: This prospective multicenter comparative study included 199 pediatric patients who underwent LA between May 2021 and October 2023 at two pediatric surgery clinics. Patients were allocated to the LigaSure group (n = 74) or Endoloop group (n = 125) based on the surgeon's intraoperative preference. Data collected included demographic characteristics, laboratory and radiological findings, intraoperative details, postoperative complications, and histopathological measurements of appendiceal and lumen diameters. Statistical analyses were performed using the independent samples t-test and chi-square test, with significance at P < .05. Results: No significant differences were observed between groups regarding age (P = .670), gender (P = .439), leukocyte count (P = .072), or C-reactive protein levels (P = .368). Complicated appendicitis was more prevalent in the LigaSure group (12.2%) compared to the Endoloop group (5.6%). No intra-abdominal abscesses or stump leakage were reported in either group. Histopathological analysis revealed no significant difference in mean appendiceal diameter (LigaSure: 8.9 ± 0.2 mm; Endoloop: 8.9 ± 0.1 mm; P = .743) or lumen diameter (P = .096). The largest lumen diameter measured in appendix specimens was 5113 μm, while the smallest was 255.6 μm (P = .096). No cases of intra-abdominal abscess or stump leakage were reported. The mean hospital stay was comparable (LigaSure: 2 ± 0.2 days; Endoloop: 2 ± 0.1 days; P = .068). Conclusion: LigaSure™ is a safe and effective alternative to Endoloop for appendiceal stump closure in pediatric LA. The device's ability to provide a secure seal makes it a reliable option, even in cases of complicated appendicitis.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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