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成人全麻腹腔镜下疝修补日间手术可行性和安全性分析

魏建昌 何杭晶 陈转鹏 钟俊斌 曹杰 王强

广州医药2024,Vol.55Issue(11):1357-1362,1380,7.
广州医药2024,Vol.55Issue(11):1357-1362,1380,7.DOI:10.20223/j.cnki.1000-8535.2024.11.019

成人全麻腹腔镜下疝修补日间手术可行性和安全性分析

Feasibility and safety analysis of laparoscopic inguinal hernia repair ambulatory surgery under general anesthesia in adults

魏建昌 1何杭晶 2陈转鹏 1钟俊斌 1曹杰 1王强2

作者信息

  • 1. 广州市第一人民医院(华南理工大学附属第二医院)普通外科,广州消化疾病中心(广东 广州 510180)
  • 2. 广州市第一人民医院(华南理工大学附属第二医院)普通外科,广州消化疾病中心(广东 广州 510180)||广东医科大学第一临床医学院(广东 湛江 524023)
  • 折叠

摘要

Abstract

Objective To explore and analyze the feasibility and safety of laparoscopic inguinal hernia repair surgery under general anesthesia in adults.Methods A retrospective analysis was conducted on the medical records of patients admitted to a hospital from January 2021 to December 2023 who underwent laparoscopic hernia repair surgery under general anesthesia.The patients were divided into day surgery group and traditional surgery group based on their hospitalization surgery mode.The daytime surgery group underwent laparoscopic inguinal hernia repair under general anesthesia in the daytime surgery mode,while the traditional surgery group underwent elective laparoscopic inguinal hernia repair under general anesthesia in the traditional admission mode.The feasibility(hospitalization duration,hospitalization cost,patient satisfaction)and safety(surgery duration,surgical bleeding volume,incidence of surgical complications)of the two groups were compared and analyzed.Results A total of 199 cases were enrolled,with 52 cases(26.1%)in the day surgery group and 147 cases(73.9%)in the traditional surgery group.Compared with the traditional surgery group,the daytime surgery group showed a decrease in length of hospital stay,preoperative hospital stay,and postoperative hospital stay,while the satisfaction score increased,and the difference was statistically significant(P<0.05).There was no difference(P>0.05)between the two groups in terms of surgical costs,total hospitalization costs,postoperative 24-hour pain scores,surgical time,surgical bleeding volume,and incidence of surgical complications.Conclusions Laparoscopic inguinal hernia repair under general anesthesia during the day for adults is safe and effective.

关键词

日间手术/全麻腹腔镜腹股沟疝修补/可行性/安全性

Key words

daytime surgery/general anesthesia/laparoscopic inguinal hernia repair/feasibility/safety

引用本文复制引用

魏建昌,何杭晶,陈转鹏,钟俊斌,曹杰,王强..成人全麻腹腔镜下疝修补日间手术可行性和安全性分析[J].广州医药,2024,55(11):1357-1362,1380,7.

基金项目

广州市第一人民医院前沿医疗技术(QY-E10) (QY-E10)

广州医药

1000-8535

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