相关实验视频
Updated: Jul 19, 2025

04:38
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
331
对食管切除术的联合和手术内风险建模:系统性审查
James Paul Grantham1, Amanda Hii2, Jonathan Shenfine3
1Department of General Surgery, Modbury Hospital, Modbury 5092, South Australia, Australia. jamespgrantham91@gmail.com.
World journal of gastrointestinal surgery
|August 9, 2023
概括
精确预测食道切除术结果对于患者护理至关重要. 虽然一些风险模型显示出希望,但需要进一步验证,以改善外科手术决策和资源分配.
科学领域:
- 手术瘤学手术瘤学
- 医疗信息学 医疗信息学
背景情况:
- 食道癌是癌症死亡的主要原因之一,预后不佳.
- 消化管切除术提供了治愈的最佳机会,但存在重大风险.
- 有效的患者选择和风险评估对于成功的结果至关重要.
研究的目的:
- 确定能够最好地预测食道切除术后术后结果的多变量风险模型.
- 用手术内和/或手术前数据评估模型.
主要方法:
- 对MEDLINE,EMBASE和Cochrane数据库 (2000-2020) 的系统审查.
- 包括评估食道切除结果的多变量风险模型的研究.
- 排除单变量预测因素和仅依赖于术后数据的模型.
主要成果:
- 在20项研究中确定了11个多变量风险模型.
- 波茨斯生理和操作严重性评分用于死亡率和发病率 (POSSUM) 和POSSUM评分的统计显示出死亡率预测的前景.
- 术内因子和食管切除术外科阿普加尔评分号码预测主要发病率,但需要外部验证.
结论:
- 目前的风险模型显示了预测食道切除术结果的潜力.
- 在广泛采用之前,需要外部验证和临床有效性测试.
- 需要进一步的研究来优化风险分层和指导术后护理.
更多相关视频
相关概念视频
Esophageal Varices-II: Clinical Features and Management
96
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
96
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
148
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
148
Esophageal Perforation-II: Clinical Manifestations and Management
88
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
88
Barrett Esophagus-II: Clinical Manifestations and Management
195
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
195
Esophageal Varices-I: Introduction
183
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
183
Relative Risk
219
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
219

