A Comparative Analysis of the Postoperative Complications of LigaSure Haemorrhoidectomy and the Procedure for Prolapsing Haemorrhoids

比較使用組織凝集刀痔瘡切除術與痔瘡環切手術術後長期併發症

羅啟恩(Chi-En Lo) ； 陳志誠(Zhi-Cheng Chen) ； 黃玄遠(Xuan-Yuan Huang) ； 張譽耀(Yu-Yao Chang) ； 王愷晟(Kai-Chen Wang)

《中華民國大腸直腸外科醫學會雜誌》 32卷1期 (2021/03) Pp. 49-54

https://doi.org/10.6312/SCRSTW.202103_32(1).10926

摘要

Purpose. This study aimed to compare the long-term postoperative complications of LigaSure haemorrhoidectomy and the procedure for prolapsing haemorrhoids (PPH). Methods. Atotal of 316 patients who underwent either LigaSure haemorrhoidectomy or PPH at the Changhua Christian Hospital between January 1, 2016 and December 31, 2018 were included in this study. One-year postoperative follow-up data of these patients were obtained from the outpatient department and analysed. The patients' demographic characteristics, medical history, operative data, postoperative course, analgesic requirements, duration of hospital stay, and postoperative complications were also evaluated. Results. The statistical data showed that the total postoperative complication rate of Ligasure haemorrhoidectomy was 2.7%, and that of PPH was significantly higher at 12%. Conclusions. Our study demonstrated that PPH has advantages of shorter surgical duration and low pain scores postoperatively compared to LigaSure haemorrhoidectomy; however, it has a higher risk of postoperative complications.

關鍵字

LigaSure haemorrhoidectomy ； Procedure for prolapsing haemorrhoids ； Postoperative complications

並列摘要

目的：比較使用組織凝集刀痔瘡切除術與痔瘡環切手術術後長期併發症。方法：統計自2016年1月到2018年12月，共316名病患接受組織凝集刀痔瘡切除術或痔瘡環切手術的術後併發症及各項手術資料之回顧性研究。結果：與組織凝集刀痔瘡切除術術後併發症率（2.7％）相比，痔瘡環切手術明顯有著較高的併發症風險（12％）。結論：我們的研究顯示雖然痔瘡環切手術在手術時間及術後短期疼痛控制上有著較優秀的表現，但長期併發症率卻明顯高於組織凝集刀痔瘡切除術。

並列關鍵字

組織凝集刀痔瘡切除術 ； 痔瘡環切手術 ； 術後併發症

參考文獻

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