在COVID-19大流行期间对内镜细胞外科手术体积的多机构分析
相关实验视频
Updated: Jul 18, 2025

08:06
Mixed Reality Assisted Radical Endoscopic Thyroidectomy
Published on: January 31, 2025
340
Mandy K Salmon1, Jacob G Eide1, Rijul S Kshirsagar1
1Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
概括
在COVID-19大流行期间,内镜细胞外科手术的数量有所下降,在峰值病例数量期间有显著下降. 然而,患者的结果,包括并发症率和再入院率,保持稳定,这表明尽管减少了手术程序,但护理的弹性仍然很强.
科学领域:
- 神经外科 神经外科
- 手术瘤学手术瘤学
- 流行病学 流行病学
背景情况:
- COVID-19 流行病在全球范围内对医疗保健系统产生了重大影响,导致选择性和非紧急外科手术程序的中断.
- 内镜细胞外科手术是一种对 pituitary 瘤的微创方法,可能受到与大流行相关的手术安排和资源分配变化的影响.
研究的目的:
- 量化COVID-19大流行之前和之后进行的内镜细胞手术量的变化.
- 评估患者的并发症率和结果是否受到潜在的手术体积减少或手术延迟的不利影响.
主要方法:
- 使用TrinetX数据库进行了回顾性分析.
- 为了特定的诊断,确定了接受脑下垂体瘤神经内镜切除 (CPT代码62165) 的成年患者.
- 2020年2月17日之前两年的数据 (COVID前组) 与两年后的数据 (COVID后组) 进行了比较.
主要成果:
- 总共有1238名患者在COVID前组和1186名患者在COVID后组,具有相似的人口统计数据.
- 在COVID后期间,整体外科手术量下降了6%,在COVID-19病例量高峰期间,2020年第二季度下降了19%,2021年第四季度下降了29%.
- 关键的术后并发症,包括脑膜炎,脑脊液泄漏,视力缺陷,呼吸问题和30天再入院,两组之间没有统计学上显著的差异.
结论:
- 内镜细胞外科手术的数量可能继续受到COVID-19爆发的影响.
- 减少手术体积或延迟非紧急的内镜细胞手术似乎不会在大流行期间对患者的结果产生负面影响.
更多相关视频
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
231
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
231
Endoscopic Studies II: Thoracocentesis
332
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
332
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
115
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
115
Endoscopic Procedures III: Video Capsule Endoscopy
188
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
188
Endoscopic Procedures V: ERCP
373
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
373

