神经轴麻醉与全身麻醉在接受三维腹腔镜激进前列腺切除术的患者中:前性比较研究的初步结果
Stefano Alba1, Deborah Fimognari2, Fabio Crocerossa2
1Department of Urology, Romolo Hospital, Rocca di Neto, Kr, Italy.
Asian journal of urology
|August 4, 2023
概括
神经轴麻醉 (NA) 是跨腹膜三维腹腔镜激进前列腺切除术 (t-3DLRP) 的安全和可行的选择,与全身麻醉 (GA) 相比,它可以减少疼痛和并发症. 患者经历了更短的住院时间和NA的改善恢复.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
背景情况:
- 已知神经轴麻醉 (NA) 在腹腔镜手术中降低了发病率和死亡率.
- 它在三维腹腔镜激进前列腺切除术 (t-3DLRP) 中的应用需要进一步调查.
研究的目的:
- 评估NA对t-3DLRP的疗效和安全性.
- 为了比较在NA和全身麻醉 (GA) 下的t-3DLRP在手术内和术后的结果.
主要方法:
- 一项前性双中心研究包括84名接受t-3DLRP的患者.
- 42名患者接受NA,42名患者接受GA.
主要成果:
- 在NA组经历的术后疼痛显著减少 (NRS中位数为3比4) 和较少的轻微并发症 (4.8%比19.0%).
- 在NA组中,入住时间的中位数缩短了1天 (5天而不是6天).
- 患者接受重复手术的意愿在NA (p=0.04) 时更高.
结论:
- 在NA下的t-3DLRP是GA的可行和安全的替代品.
- 无血栓导致手术后疼痛和轻微并发症的减少.
- 在没有手术干扰的情况下,NA促进了足够的肌肉放松和呼吸功能.
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