对于直肠脱落手术的国际变异性
Jesse K Kelley1,2, Edward R Hagen3, Brooke Gurland4
1General Surgery Residency, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.
BMJ surgery, interventions, & health technologies
|November 29, 2023
概括
这项国际调查揭示了结直肠外科医生如何处理直肠的治疗方法的显著变化. 大多数外科医生希望更多的教育,以最佳的手术技术,以治疗直肠.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 外科教育的外科教育
背景情况:
- 结直肠脱落是一种条件,没有普遍同意的最佳治疗.
- 了解当前的外科手术实践对于确定改善和教育的领域至关重要.
研究的目的:
- 评估在诊断和手术管理全厚直肠的国际模式.
- 确定结直肠外科医生手术前评估和手术方法的差异.
主要方法:
- 进行了一项国际调查,涉及249名结肠直肠外科医生.
- 该调查涵盖了外科医生人口统计数据,手术前检查和对直肠的手术偏好.
- 分析了数据,以根据患者特征和地理位置确定趋势和变化.
主要成果:
- 在手术前评估中存在显著的变化,只有19%的人经常使用直肠生理学测试.
- 对于健康患者来说,最好采用最小侵入性的腹部方法,腹腔直是最常见的 (56%).
- 手术技术的偏好 (例如,网状与生物移植,Delormes与Altmeier) 根据地理区域有很大的差异.
结论:
- 在治疗直肠倒退方面,国际上存在相当大的分歧.
- 缺乏共识凸显了进一步研究和为外科医生提供标准化的教育计划的需要.
- 大多数接受调查的外科医生表示,他们希望获得关于直肠的外科手术方法的额外教育.
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