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循环静脉关闭作为一个23小时的逗留程序与手术前的异位四肢腹部刺激:一个随机对照试验

Janyssa Charbonneau¹, Geneviève Morin, Xavier G Paré

¹Colorectal Surgery Division, Department of Surgery, Université Laval, Quebec City, Quebec, Canada.

Diseases of the colon and rectum

|November 23, 2023

概括

循环静脉切除术的闭合可以安全地作为23小时的入院手术进行,大大减少了住院时间. 手术前的肠刺激可能会进一步降低术后的阴茎损伤率,在接受阴茎切除术关闭的患者中.

科学领域:

结肠直肠手术结肠直肠手术
外科手术的结果
增强的恢复途径

背景情况:

循环静脉关闭是一个常见的结直肠外科手术程序.
目前的做法往往涉及到长时间的住院治疗,尽管并发症率低.
减少手术后的并发症和骨髓,可以缩短逗留时间和门诊手术.

研究的目的:

为了评估在23小时的住院期间内闭塞乳房静脉切开术的安全性和可行性.
评估这个程序的标准化增强恢复途径的有效性.

主要方法:

一项随机对照试验在两个大量的结直肠外科手术中心进行.
在2019年7月至2022年1月期间,接受选择性静脉切除关闭的健康成年人被录取.
患者接受了标准化的增强康复途径,包括手术前用营养配方灌有机四肢;他们被随机分为常规住院或23小时住院.

主要成果:

共有47名患者被随机分配.
23小时住院组的住院时间中位数较短 (1天对2天,p=0.02).
两组都显示出类似的再入院率,手术后阴茎 (两组都没有),手术部位感染,手术后发病率和死亡率.

结论:

胸膜闭塞可以安全有效地作为23小时停留手术进行.
通过外肢进行手术前的肠刺激可能会降低内脏病发病率,需要进一步调查.
这项研究虽然因COVID-19而提前终止,但表明转向门诊手术以关闭结节管.

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