胸腔外围麻醉下腹部 laparoscopic手术在患有间歇性肺部疾病的患者:回顾性观察队列研究
1Department of Surgery, Mansoura University, Egypt.
Surgical laparoscopy, endoscopy & percutaneous techniques
|September 19, 2023
概括
带外围麻醉的腹腔镜手术对于间歇性肺病患者来说是安全的,没有显示肺部恶化或死亡. 这种方法最大限度地减少了高风险腹部手术患者的并发症.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 胃肠病学 胃肠病学
背景情况:
- 间歇性肺病 (ILD) 患者面临显著的外科手术风险,包括全身麻醉和肺部并发症.
- 在ILD患者的腹部疾病需要仔细的手术规划,因为增加了发病率和死亡率的风险.
研究的目的:
- 评估腹腔镜腹部手术在ILD患者的外周麻醉下疗效和安全性.
- 为了评估肺和非肺并发症的发生率,以及死亡率,在这个患者队列.
主要方法:
- 对18名ILD患者进行了腹腔镜腹部手术的回顾性研究.
- 主要终点:30天肺部并发症的急性恶化.
- 二级终点:非肺部并发症和30天住院死亡率.
主要成果:
- 没有患者经历过急性肺部恶化.
- 只有1名患者出现非肺部并发症;没有报告死亡.
- 从腹腔镜手术转换为开放手术的低转换率 (1名患者),在外周麻醉下维持.
结论:
- 外周麻醉是ILD患者腹腔镜手术的安全麻醉选择.
- 腹腔镜手术可以成功地在ILD患者中进行,其转化率低,并发症最小.
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