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对于功能性上腺瘤的腹腔镜上腺切除术后的三十天术后结果
Raisa R Gao1, Nitin Chilukuri2, Pnina Rokhlin2
1Department of General Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Dr., Kalamazoo, MI, 49007, USA. raisa.gao@wmed.edu.
Surgical endoscopy
|July 6, 2023
概括
功能性上腺瘤 (FATs) 具有独特的人口特征和外科手术结果. 了解这些差异对于优化患者护理和腹腔镜腎上腺切除术的手术前咨询至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 功能性上腺瘤 (FATs) 很少见,但由于荷尔蒙过度产生,如果不治疗,会带来严重的患病和死亡风险.
- 常见的脂肪包括那些产生皮质醇 (高皮质醇主义),阿尔多 (高阿尔多醇主义) 和甲基醇胺的脂肪.
研究的目的:
- 为了评估经过腹腔镜上腺切除术的FAT患者的人口特征.
- 分析不同类型的FAT的30天术后结果.
主要方法:
- 从ACS-NSQIP数据库 (2015-2017) 中对345名患有FAT的患者进行了回顾性分析.
- 患者被分为超阿尔多斯特隆症,高皮质醇症和染细胞瘤组.
- 人口统计数据,并发症和30天的结果使用统计测试进行了比较,包括多变量逻辑回归用于发病率预测因素.
主要成果:
- 过高皮质醇症组的患者年轻,女性多,BMI高,糖尿病率高.
- 红细胞瘤患者的严重发病率,整体发病率和再入院率较高.
- 对于高皮质醇症患者,手术时间更长,对于高皮质醇症患者和染细胞瘤患者,住院时间更长.
结论:
- 在不同类型的功能性上腺瘤中存在明显的人口变化和术后结果.
- 基于瘤类型的手术前优化和患者咨询对于管理预期和改善手术结果至关重要.
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