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肥胖对经过胃肠道手术后的周围手术结果的影响:元分析
Carolyn Cullinane1, Anna Fullard2, Stefanie M Croghan3
1Department of Colorectal Surgery, University Hospital Waterford, Waterford, Ireland.
BJS open
|July 10, 2023
概括
接受全科手术的肥胖患者的30天死亡率低于正常体重患者. 然而,肥胖与术后发病率和伤口感染的增加有关,挑战了手术结果中的肥胖悖论.
科学领域:
- 外科手术的结果
- 肥胖医学 肥胖医学
- 进行元分析分析.
背景情况:
- 由于并发症和技术因素,肥胖会带来外科手术期间的挑战,但其对术后结果的影响仍在争论中.
- 关于肥胖和手术结果的现有报告是相互矛盾的,需要进行全面的审查.
- 这项研究旨在系统地审查和元分析肥胖对外科外科整形外科外科外科外科外科外科结果的影响.
结论:
- 这些发现表明潜在的"肥胖悖论",挑战了肥胖手术患者死亡率更高的假设.
- 单独增加的BMI与一般外科手术中术后死亡率的增加没有相关性.
- 强调需要先进的身体组成评估,以准确地进行外科手术期间风险分层.
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