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什么时候会发生泄漏? 对代谢和减肥手术认证和质量改进计划的分析

Benjamin Clapp¹, John Corbett², Maria Ahmad¹

¹Department of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

|May 31, 2023

概括

在Roux-en-Y胃绕道术 (RYGB) 后,比袖子胃切除术 (SG) 之前,腹手术泄漏更早出现. 由于死亡风险增加,外科医生必须在手术后至少三个星期监测泄漏情况.

科学领域:

腹部外科腹部外科
手术并发症手术并发症
胃肠道手术胃肠道手术

背景情况:

漏水是减肥手术后的一个严重可怕的并发症.
及时识别和管理泄漏对于患者的治疗结果至关重要.

研究的目的:

为了确定减肥手术后出现泄漏的典型时间.
为了比较袖子胃切除术 (SG) 和Roux-en-Y胃绕道术 (RYGB) 之间的泄漏呈现时间.

主要方法:

使用了代谢和腹部外科认证和质量改进计划 (MBSAQIP) 数据库 (2015-2020).
分析了包括"器官空间感染"和"泄漏"在内的结果,以及患者特征,手术时间和30天的结果.

主要成果:

在370,369个SG (0.16%) 中确定了598个泄漏,呈现在13.2 ± 7.8天.
在159,280个RYGB (0.32%) 中确定了520个漏洞,呈现时间为9.5±7.4天.
泄漏与更长的手术时间和显著更高的严重并发症率 (Clavien-Dindo 4 - 5级) 和 SG 和 RYGB 的死亡率有关.

结论:

与Roux-en-Y胃绕道漏洞相比,袖子胃切除漏洞往往会晚些时候出现.
建议在手术后至少三个星期保持漏洞警.
腹腔外科手术泄漏与死亡率增加和严重并发症有关.

关键词:

解剖器的泄漏情况这就是MBSAQIPIP.主要线路泄漏发生了泄漏.现在是泄漏的时候了.

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