tailieunhanh - EAES Guidelines for Endoscopic Surgery - part 8

Tính khả thi về an toàn hoạt động thời gian chẩn đoán chính xác Postop biến chứng hậu phẫu Hiệu quả Tỷ lệ tử vong do vết thương nhiễm bánh mì ở lại bệnh viện để hoạt động trở lại bình thường sau mổ dính Đánh giá chung Cosmesis | Table . Evaluation of feasibility and efficacy parameters for laparoscopic appendectomy by the panelists before the final discussion Stages of technology assessment Definitely better Probably better Similar Probably worse Definitely worse Percentage of consensus a Strength of evidence 0-IIIb Feasibility Safety 1 8 2 73 II Operation time 3 7 1 73 III Postop complications 1 6 4 64 III Mortality 9 lc 82 I Efficacy Diagnostic accuracy 7 4 100 II Wound infection 8 3 100 III Postoperative pain 4 6 1 91 II Hospital stay 2 6 3 73 II Return to normal activities 5 5 1 91 III Postoperative adhesions 1 7 2C 73 I Cosmesis 4 4 2C 73 0 Overall assessment 3 6 1 1 7 II a Percentage of consensus was calculated by dividing the number of panelists who voted better probably and definitely similar or worse probably and definitely by the total number of panelists 11 b Refer to Table 2 for definitions of the grading system c One panelist wrote unknown or left it blank. He is presumed to have voted with this minority group when the percentage of agreement was calculated. 12 The EAES Guidelines on Cholecystectomy Appendectomy and Hernia Repair 1994 277 Table . Ratings of published literature on laparoscopic appendectomy Study type Strength of evidence References Clinical randomized controlled studies with power and relevant clinical end points III 2 6 10 12 23 33 Cohort studies with controls - Prospective parallel controls - Prospective historical controls Case-control studies II 3 4 8 13 18 19 25 27 29 32 34 36 38 Cohort studies with literature controls Analysis of databases Reports of expert committees I 1 5 7 9 14 16 20-22 24 26 30 37 Case series without controls 0 15 17 28 31 35 39 Anecdotal reports Belief ven The Netherlands p. Testas Service de Chirurgie Generate Centre Hospitaller Bicetre Le Kremlin-Bicetre Cedex France J. A. Lujan Mompean Department of General Surgery University Hospital Virgen de la Arrixac El Palmar Murcia Spain J. s. Valla Hopital pour Enfants Nice .