A Randomized Trial to Compare the Conventional Three-Port Laparoscopic Appendectomy Procedure to Single-Incision and One-Puncture Procedure That Was Safe and Feasible, Even for Surgeons in Training
A Randomized Trial to Compare the Conventional Three-Port Laparoscopic Appendectomy Procedure to Single-Incision and One-Puncture Procedure That Was Safe and Feasible, Even for Surgeons in Training
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一项随机试验，比较传统的三孔腹腔镜阑尾切除术与单切口单穿刺手术，即使对于接受培训的外科医生来说也是安全可行的
DOI：
10.1089/lap.2018.0195
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发表时间：
2019
影响因子：
1.3
通讯作者：
Ieiri Satoshi
中科院分区：
文献类型：
--
作者：
Moriguchi Tomoe;Machigashira Seiro;Sugita Koshiro;Kawano Masato;Yano Keisuke;Onishi Shun;Yamada Koji;Yamada Waka;Masuya Ryuta;Kawano Takafumi;Nakame Kazuhiko;Mukai Motoi;Kaji Tatsuru;Ieiri Satoshi
背景：单切口腹腔镜手术已经出现，然而，对于实习生来说，手术可能会很复杂。通过参加儿科外科医生(APSS)和培训外科医生(SITS)，比较传统三孔腹腔镜阑尾切除术(CLA)和单切口一穿刺式腹腔镜阑尾切除术(SIOPLA)的临床效果。材料和方法：回顾72例连续2年由SITS和APSS实施的随机腹腔镜阑尾切除术的临床结果。这些病例根据外科医生的类型进行了分类。SITS完成CLA手术10例，SIOPLA18例，APSS完成CLA手术24例，SIOPLA20例。结果：两组手术时间、术中出血量、术后止痛药使用、术后并发症及住院天数均无显著差异。结论：SIOLA手术效果并不逊色于CLA，术后效果满意。因此，对于年轻的外科医生来说，SIOLA是安全可行的。
Background:Single-incision laparoscopic surgery has emerged; however, the procedures might be complicated for trainees. We compared the clinical outcomes of conventional three-port laparoscopic appendectomy (CLA) and single-incision and one-puncture laparoscopic appendectomy (SIOPLA) by attending pediatric surgeons (APSs) and surgeons in training (SITs).Materials and Methods:We reviewed the clinical outcomes of 72 randomized laparoscopic appendectomies that were consecutively performed by SITs and APSs for a 2-year period. The cases were categorized according to type of surgeon. Finally, 10 CLA and 18 SIOPLA procedures were performed by SITs, and 24 CLA and 20 SIOPLA procedures were performed by APSs. The operative time, blood loss, analgesic use, complications, and hospital stay were analyzed.Results:There were no significant differences in any of the evaluation points between CLA and SIOPLA.Conclusions:SIOPLA is not inferior operation to CLA, and the postoperative outcomes of SIOPLA were satisfactory. Thus, SIOPLA was safe and feasible for young surgeons to perform.