结直肠手术可以作为门诊手术进行吗?
Abier Abdelnaby1, Analena Alcabes2
1Colon and Rectal Surgical Services, Montefiore Medical Center, Bronx, NY, USA; Department of Surgery, The University Hospital for Albert Einstein College of Medicine, 1825 Eastchester Road, Bronx, NY 10461, USA.
Advances in surgery
|August 3, 2023
概括
结直肠手术后的当天排泄现在是安全的和可行的. 微创手术的进步和手术后增强恢复 (ERAS) 协议显著改善了患者的治疗结果,并减少了住院时间.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 患者的恢复 患者的恢复
背景情况:
- 至少侵入性的外科手术技术已经显著进步.
- 手术后增强恢复 (ERAS) 协议优化了患者的护理.
- 从历史上看,结肠直肠手术需要更长的住院时间.
研究的目的:
- 评估选择性切除术后在同一天出院的安全性和可行性.
- 审查增强恢复途径和最小侵入性手术的演变.
- 建立门诊结直肠外科手术的安全概况.
主要方法:
- 对增强恢复途径研究的文献综述.
- 对微创结直肠手术结果的研究分析.
- 检查患者住院时间和发病率的数据.
主要成果:
- 最少侵入性手术,特别是ERAS协议,与更短的住院时间有关.
- 研究支持接受这些手术的患者的改善结果和最小的发病率.
- 这些概念的发展使得安全的当天排放成为可能.
结论:
- 选择性切除术后的当天出院是一个安全和可行的选择.
- 微创手术和ERAS协议的整合是成功门诊结直肠手术的关键.
- 进一步的研究证实了门诊结直肠手术的安全性.
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