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脊柱麻醉在接受开放激进逆管性前列腺切除术的患者的有效性和安全性
Salvatore Blanco1, Angelica Grasso2, Endrit Sulmina3
1Department of Urology, Fondazione IRCCS San Gerardo dei Tintori, Monza. sblanco_74@yahoo.it.
概括
在脊髓麻醉下进行开放激进前列腺切除术是前列腺癌治疗中全身麻醉的安全有效替代方案. 这种技术在康复过程中提供了优势,大多数患者很快就能保持节制,并经历较少的并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 麻醉学 麻醉学
背景情况:
- 前列腺癌是男性普遍存在的恶性瘤.
- 至少侵入性的腹腔镜和机器人手术是常见的,但传统的开放激进前列腺切除仍然是一个选择.
- 脊髓麻醉被探索为开放激进前列腺切除术的全身麻醉的替代方案.
研究的目的:
- 介绍在脊髓麻醉下进行开放激进前列腺切除术的经验.
- 在前列腺癌患者中评估这种麻醉技术的安全性和有效性.
主要方法:
- 88名连续接受开放激进前列腺切除术的患者的回顾性审查.
- 在脊髓麻醉下进行的手术.
- 收集了有关患者人口统计,手术结果和并发症的数据.
主要成果:
- 患者的中位年龄为67.7岁,平均随访时间为48个月.
- 最常见的并发症是贫血,在9例中需要输血;没有观察到脊髓麻醉相关的并发症.
- 90%的患者在两周内实现了完全的节制,所有患者在6个月内都保持了节制. 48名患者在6个月后报告了勃起功能障碍.
结论:
- 开放激进前列腺切除术可以在脊髓麻醉下安全地进行,挑战全身麻醉作为黄金标准的概念.
- 脊髓麻醉在开放激进前列腺切除术的恢复和安全方面具有潜在的优势.
- 这种技术为前列腺癌治疗提供了可行的替代方案.
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