根源性切除和血栓切除术后漏的预防,发病率和危险因素
Kewei Chen1, Zhuo Liu1, Yuxuan Li1
1Department of Urology, Peking University Third Hospital, Beijing, P.R. China.
Cancer medicine
|December 21, 2023
概括
彻底切除术和血栓切除术后,9.9%的患者出现了质泄漏 (CL). 风险因素包括梅奥等级,侧面和手术方法,但CL不会影响长期癌症存活率.
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
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 胆泄漏 (CL) 是根性切除和血栓切除术后的一种潜在并发症.
- 确定发病率和风险因素对于患者管理至关重要.
- 了解CL对瘤结果的影响对于预后很重要.
研究的目的:
- 确定激进切除和血栓切除术后漏 (CL) 的发生率和危险因素.
- 为了确定质泄漏对瘤结果的影响.
主要方法:
- 对445名接受了彻底切除术和血栓切除术的患者进行了回顾性分析.
- 甲酸泄漏定义为三甘水平>110 mg/dL.
- 风险因素的多变量逻辑回归;生存分析的卡普兰-梅尔.
主要成果:
- 在手术后6天内,在9.9%的患者中诊断出质泄漏 (CL).
- 独立的CL风险因素:梅奥等级,侧面,手术方法,手术时间和淋巴结数.
- 在CL和非CL组之间,总体或癌症特异性存活率没有统计差异.
结论:
- 梅奥等级,侧面,手术方法,手术时间和淋巴结收获是漏的关键危险因素.
- 酸泄漏会延长住院时间,但不会对细胞癌和瘤血栓患者的长期瘤结果产生不利影响.
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