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在右侧与右侧扩展性脑膜切除术后肠功能恢复的比较:回顾性分析

Zak Maas¹, Daniel A Carson^1,2, Rachel A McIntyre³

¹Department of General Surgery, Tauranga Hospital, Tauranga, New Zealand.

ANZ journal of surgery

|December 2, 2023

概括

长期的术后阴道 (PPOI) 在延长右半球切除术 (ERH) 后比右半球切除术 (RH) 更常见. 然而,PPOI率在控制外科手术时是相似的,这表明技术,而不是程度,影响恢复.

科学领域:

结肠直肠外科手术是什么意思
外科手术的结果
胃肠道的恢复胃肠道的恢复

背景情况:

长期的手术后内脏 (PPOI) 增加了病率和住院时间.
在右侧切除后,PPOI的发生频率更高.
在扩展右半球切除术 (ERH) 和右半球切除术 (RH) 后肠功能恢复的比较仍然不清楚.

研究的目的:

为了比较ERH和RH患者的康复情况.
分析PPOI的发生率,肠功能恢复和并发症.
在这些患者群体中确定影响PPOI的因素.

主要方法:

从2012-2021年对ERH和RH患者的回顾性比较.
分析PPOI发病率,肠功能恢复和术后并发症.
包括293名患者 (42名ERH,251名RH).

主要成果:

在ERH中,PPOI的频率更高 (43%),而不是RH (25%) (P=.02).
在控制操作方法 (开放ERH与开放RH) 时,PPOI率没有显著差异.
肠功能恢复没有差异 (不包括PPOI);ERH患者的停留时间更长,Hb下降更大.

结论:

虽然ERH显示较高的PPOI率,但当控制外科手术时,这种差异会减少.
需要对PPOI进行进一步的研究,特别是在腹腔镜手术后.
建议根据手术方法量身定制手术后增强恢复 (ERAS) 协议.

关键词:

胃肠道的运动性.进行半球切除术 (hemicolectomy).伊利乌斯 (Ileus) 是一个术后并发症术后并发症在手术后出现的阴.

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