激进囊切除患者的手术前优化:当前状态和未来方向
Jeffrey L Ellis1, Zafardjan Dalimov2, Lauren Chew3
1Department of Urology, Loyola University Medical Center, Maywood, Illinois, USA.
Journal of surgical oncology
|December 1, 2023
概括
激进囊切除术 (RC) 可以导致严重的并发症. 术前优化,包括营养和预康复,有望减少这种重大手术的死亡率和发病率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 在外科手术期间的医学.
背景情况:
- 激进囊切除术 (RC) 是针对膀癌的重大手术,并发症率很高.
- 机器人辅助和手术后增强恢复 (ERAS) 协议尚未完全减轻发病率和死亡率.
- 越来越需要探索超越当前ERAS协议的战略.
研究的目的:
- 审查和评估现有的关于手术前评估和激进囊切除术优化的文献.
- 识别可能减少不良结果的手术前优化关键组件.
- 综合当前关于营养评估,补充和预康复的证据.
主要方法:
- 对当前文献进行系统审查.
- 对重点关注RC手术前干预的研究进行评估.
- 对营养状况,补充剂和康复前计划数据的分析.
主要成果:
- 手术前的营养状况是RC后结果的重要预测因素.
- 有针对性的营养补充剂可以改善术后恢复.
- 预康复计划显示出在手术前增强患者性方面的潜力.
结论:
- 综合性手术前评估和优化对于改善RC的结果至关重要.
- 将营养支持和预康复整合到术后护理中,需要进一步研究.
- 未来的研究应该集中在这些术前策略的标准化和验证上.
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