在急性胆囊炎的腹腔镜胆囊切除术中的教科书结果
Norifumi Iseda1,2, Tomohiro Iguchi1, Shinji Itoh2
1Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, Japan.
Asian journal of endoscopic surgery
|August 1, 2023
概括
教科书结局 (TO) 是急性胆囊炎中腹腔镜胆囊切除术的质量指标. 高龄和特定的实验室值预测TO失败,突出了改善外科质量评估的领域.
科学领域:
- 手术质量测量手术质量测量
- 胃肠道外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 教科书结局 (TO) 是一个综合测量手术质量的指标.
- 在腹腔镜胆囊切除术 (LC) 后评估急性胆囊炎 (AC) 的TO至关重要.
研究的目的:
- 在AC中提出LC的标准.
- 确定导致TO失败的因素和患者的倾向.
主要方法:
- 对189名接受LC治疗的AC患者的回顾性分析.
- 定义为:没有转换的LC,没有重大并发症,没有长期停留,再录取或死亡率.
主要成果:
- 154/189名患者 (81.5%) 实现了 TO.
- TO的成就与较低的医疗费用相关.
- 与年龄>70岁,低血红蛋白和高白细胞计数相关的TO衰竭.
结论:
- TO有效地评估了AC医院住院质量.
- TO可以指导治疗选择,并降低医疗保健成本.
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