EAES,SAGES和ESCP快速指南:肠道制备用于最少侵入性结直肠切除
Stavros A Antoniou1,2, Bright Huo3, Alexander A Tzanis4
1Department of General Surgery, Papageorgiou General Hospital, Thessaloniki, Greece. stavros.antoniou@hotmail.com.
Surgical endoscopy
|October 31, 2023
概括
这项研究提供了基于证据的建议,用于在微创性结直肠手术中进行肠道准备. 关键的发现表明,具体的协议涉及机械肠道制备 (MBP) 和口服抗生素的各种程序,以优化结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术指南 手术指南
- 基于证据的医学基于证据的医学.
背景情况:
- 在微创性结直肠手术之前,肠道准备的做法各不相同.
- 对欧洲内镜外科协会 (EAES) 成员进行的一项调查强调,需要就此主题制定临床实践指南.
研究的目的:
- 制定基于证据的临床实践建议,用于在微创性结直肠手术前进行肠道准备.
- 利用证据综合和证据决策框架与利益相关者的投入.
主要方法:
- 更新了系统审查,并对干预措施进行了网络元分析.
- 使用GRADE和CINeMA方法评估证据确定性.
- 一个跨学科小组 (外科医生,传染病专家,麻醉师,患者代表) 根据益处,危害,可行性和成本评估了证据.
主要成果:
- 单独使用口服抗生素 (右结肠切除) 或使用机械肠道制备 (MBP) 进行各种切除的条件建议.
- 强烈推使用MBP加上口服抗生素,用于手术内定位损伤的微创性结直肠手术.
- 建议对右结肠,左结肠,西格切除和直肠手术进行特定的方案.
结论:
- 该指南提供了基于证据的建议,用于微创性结直肠手术中的肠道准备.
- 使用严格的方法和利益相关者的共识开发.
- 准则的注册编号:PREPARE-2023CN045. 准则的注册编号:
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