...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Langenbeck's archives of surgery >Single incision laparoscopic cholecystectomy (SILC) versus laparoscopic cholecystectomy (LC)-a matched pair analysis.
【24h】

Single incision laparoscopic cholecystectomy (SILC) versus laparoscopic cholecystectomy (LC)-a matched pair analysis.

机译：单切口腹腔镜胆囊切除术（SILC）与腹腔镜胆囊切除术（LC）-配对分析。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

INTRODUCTION: The aim of our study was to compare single incision laparoscopic cholecystectomy (SILC) and laparoscopic cholecystectomy (LC) with respect to complications, operating time, postoperative pain, use of analgesics, length of stay, return to work, rate of incisional hernia, and cosmetic outcome. METHODS: Sixty-seven patients underwent SILC. Of a cohort of 163 LC operated in the same time period, 67 patients were chosen for a matched pair analysis. Pairs were matched for age, gender, ASA, BMI, acuity, and previous abdominal surgery. In the SILC group, patient characteristics (gender, age, BMI, comorbidities, ASA, previous abdominal surgery, symptomatic cholecystolithiasis, cholecystitis) and perioperative data (surgeon, operation time, conversion rate and cause, intraoperative complications, postoperative complications, reoperation rate, VAS at 24 h, VAS at 48 h, use of analgesics according to WHO class, and length of stay) were collected prospectively. RESULTS: Follow-up in the SILC and LC group was completed with a minimum of 17 and a maximum of 26 months; data acquired were recovery time the patients needed until they were able to get back into the working process, long-term incidence of postoperative hernias, and satisfaction with cosmetic outcome. Operating time was longer for SILC (median 75 min, range 39-168 vs. 63, range 23-164, p = 0.039). There were no significant differences for SILC and LC with regard to postoperative pain measured by VAS at 24 h (median 3, range 0-8 vs. 2, range 0-8, p = 0.224), at 48 h (median 2, range 0-6 vs. 2, range 0-8, p = 0.571), use of analgesics, and length of stay (median 2 days, range 1-9 vs. 2, range 1-11, p = 0.098). There was no major complication in either group. The completion rate of SILC was 85.1% (57 of 67). Although there was a trend towards an earlier return to the working process in patients of the SILC group, this was not significant. The rate of incisional hernias was 1.9% (1/53) in the SILC and 2.1% (1/48) in the LC group indicating no significant difference. Self-assessment of satisfaction with the cosmetic outcome was not judged different by patients in both groups. CONCLUSION: SILC is associated with longer operating time, but equals LC with respect to safety, postoperative pain, use of analgesics, length of stay, return to work, rate of incisional hernia, and cosmetic outcome.
机译：简介：我们的研究目的是比较单切口腹腔镜胆囊切除术（SILC）和腹腔镜胆囊切除术（LC）在并发症，手术时间，术后疼痛，使用止痛药，住院时间，恢复工作，切口疝的发生率方面和美容效果。方法：67例患者接受了SILC。在同期进行的163例LC队列中，选择了67例患者进行配对分析。配对配对的年龄，性别，ASA，BMI，敏锐度和先前的腹部手术。在SILC组中，患者特征（性别，年龄，BMI，合并症，ASA，以前的腹部手术，有症状的胆囊结石症，胆囊炎）和围手术期数据（外科医生，手术时间，转化率和原因，术中并发症，术后并发症，再次手术率，前瞻性收集24 h时的VAS，48 h时的VAS，根据WHO分类的镇痛药使用和住院时间。结果：SILC和LC组的随访时间最少为17个月，最长为26个月。获得的数据包括患者恢复工作之前所需的恢复时间，术后疝气的长期发生率以及对美容结局的满意度。 SILC的操作时间更长（中位75分钟，范围39-168与63，范围23-164，p = 0.039）。在24小时（中位数3，范围0-8与2，范围0-8，p = 0.224），48小时（中位数2，范围）中，VAS测量的术后疼痛在SILC和LC方面无显着差异。 0-6 vs. 2，范围0-8，p = 0.571），使用止痛药和住院时间（中位数2天，范围1-9 vs. 2，范围1-11，p = 0.098）。两组均无重大并发症。 SILC的完成率为85.1％（67之57）。尽管SILC组的患者有一种早日恢复工作过程的趋势，但这并不重要。 SILC切口疝的发生率为1.9％（1/53），LC组为2.1％（1/48），无显着性差异。两组患者对美容效果的自我评估均未见差异。结论：SILC与更长的手术时间相关，但就安全性，术后疼痛，使用止痛药，住院时间，恢复工作，切口疝的发生率和美容效果而言，LC等于LC。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号