在胃切除手术后改善康复的"周日效应" 胃切除手术协议
Jacopo Weindelmayer1, Valentina Mengardo1, Lorena Torroni2
1General and Upper G.I. Surgery Division, Azienda Ospedaliera Universitaria Integrata, Borgo Trento, University of Verona, Verona, Italy.
Digestive surgery
|July 3, 2023
概括
胃切除手术的每周一天不会影响患者的结果或遵守手术后增强恢复 (ERAS) 协议. 这一发现表明"工作日效应"不是胃切除术恢复的重要因素.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 临床结果研究研究
背景情况:
- 手术后增强恢复 (ERAS) 协议可以改善胃切除术后的结果.
- 这是一个很棒的节目,这是一个很棒的节目.
- 周日影响 周日影响
- 可能会对术后发病率产生负面影响.
研究的目的:
- 调查胃切除手术当天是否会影响术后的结果.
- 评估手术时间对遵守ERAS协议项目的影响.
主要方法:
- 胃切除术患者的回顾性分析 (2017年1月至2021年9月).
- 患者分为早期 (星期一-星期三) 和晚期 (星期四-星期五) 的手术组.
- 各组之间的ERAS合规性和术后结果的比较.
主要成果:
- 早期 (n=227) 和晚期 (n=154) 组之间的ERAS合规性没有显著差异.
- 住院时间的中位数,发病率 (50%),严重并发症 (13-15%) 和90天死亡率 (2%) 都相似.
- 术前特征在各组之间是可比的.
结论:
- 胃切除术的周日不会显著影响ERAS协议的成功.
- 在标准化的ERAS设置中,胃切除术的日期不会影响术后的外科和瘤结局.
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