减肥手术后出血的时间和管理
Zaina Naeem1, Panagiotis Volteas1, Alisa Khomutova1
1Department of Surgery, Renaissance School of Medicine, Stony Brook, NY, USA.
Surgical endoscopy
|July 3, 2023
概括
减肥手术 (袖子胃切除术或胃绕道) 后的出血因手术类型而异. 袖子胃切除术患者面临更高的再手术风险,而胃绕道术患者更有可能进行非手术干预.
科学领域:
- 腹腔外科手术的结果
- 胃肠道手术并发症 胃肠道手术并发症
- 改善外科手术的质量.
背景情况:
- 腹腔外科手术后的出血管理策略还没有得到很好的定义.
- 了解重新操作与非手术干预率之间的区别至关重要.
研究的目的:
- 为了比较在袖子胃切除术 (SG) 和Roux-en-Y胃绕道 (RYGB) 中出血后的再手术和非手术干预率.
- 分析影响术后出血的外科和非外科治疗之间的选择因素.
主要方法:
- 利用MBSAQIP数据库 (2015-2018) 进行SG和RYGB后的出血事件.
- 采用多变量细灰和通用线性回归模型来评估干预风险和计数.
主要成果:
- 鉴定了2653名需要干预的患者在SG或RYGB之后出血.
- 袖子胃切除术 (SG) 与更高的重新手术风险有关;Roux-en-Y胃绕道术 (RYGB) 与更高的非手术干预风险有关.
- 早期出血增加了重新手术的风险,并降低了非手术干预的风险,无论最初的手术.
结论:
- 带有出血的袖子胃切除术患者比RYGB患者更容易重新手术.
- 流血的Roux-en-Y胃绕道患者更有可能接受非手术治疗.
- 早期的术后出血会影响治疗选择,但最初的干预类型不会影响后续手术的总数.
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