评价腹腔镜阑尾切除术与开放阑尾切除术
目标和目的:这项研究的基本目标是分析腹腔镜阑尾切除术在com -半成品张开阑尾切除术对手术部位感染。材料和方法:本研究是由Sheikh Zayed医院,Ra纱线汗——他在2019年1月至2019年9月。这项研究包括100名患者被诊断为阑尾炎和操作。他们的平均年龄为33.32±20.80岁。办公自动化是通过右下腹横muscle-splitting切口。线程的基础关系放在美联社——pendix。结果:100例患者,85例(63.4%)有急性阑尾炎和20(20.1%)阑尾穿孔。在洛杉矶有80名患者组和54 OA组;然而,9例有开放的转换过程。整体SSI率不是不同的两组之间(OA组为2.8%比4.6%拉集团重新spectively, P = 0.204),但表面SSI率显著降低LA组(3.2%比0.6%,P = 0.016)。 Conclusion: It is concluded that advantages of diagnostic laparoscopy in patients with abdominal pain, combined with the benefits of laparoscopic ap- pendectomy, suggest that all patients with suspected appendicitis should be considered for laparoscopic appendectomy provided appropriately trained per- sonnel and adequate equipment are available. INTRODUCTION: Laparoscopic surgery has gained in popularity and found application in almost every sur- gical specialty. The management of many diseases has benefited from the application of the laparoscop- ic approach. Laparoscopic appendectomy is one such procedure increasing in popularity since initially re- ported by Semm in 1983. Several studies have shown the advantages of laparoscopic surgery in terms of shorter hospital stay, rapid postoperative recovery, and better pain control. However, there have been concerns about the risk of infectious complications, particularly the development of intra-abdominal ab- scess and superficial wound infection. This risk is sig- nificantly increased in cases of perforated appendici- tis [1]. Acute appendicitis is one of the most common causes of acute abdomen in all ages. It occurs more frequently in men than in women (male/female: 1.3/1); the mean and median ages related to this pathology are 31.3 and 22 years, respectively. Open appendectomy (OA), which was first described by McBurney in 1894, is the most frequently performed emergency abdominal operation in the world. How- ever, the use of the laparoscopic appendectomy (LA) procedure has rapidly increased since it was first de- scribed by Semm in 1984. Although LA is commonly performed for acute appendicitis, it is not always the best treatment choice [2]. Many studies comparing LA and OA with respect to treatment and follow-up have been conducted. These studies have reported less postoperative surgical-site infection, decreased need for analgesics, much greater visualization, rapid healing, shorter hospital stay times, and earlier re- turn to normal activity (RTNA) rates associated with LA. However, because of the high costs related to endostaplers, endoclips, and knottings, LA is not the most efficient operation technique [3]. Open appen- dectomy (OA), which was described first by McBur- ney in 1894, has been accepted as the gold standard of appendectomy for around 100 years. However, since its introduction by Semm in 1983, laparoscopic appendectomy (LA) has been conducted more fre- quently than OA due to its advantages of being min- imally invasive [4]. In particular, more attention has
穆罕默德•哈里斯
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