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治疗急性围腹:外科医生的专业化是否与改善的结果有关?

Gregory A Turner¹, Nicole Tham¹, Raaj Chandra¹

¹Colorectal Unit, Department of Surgical Specialties, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

ANZ journal of surgery

|December 22, 2023

概括

外科医生专注于结肠直肠外科手术并没有改善急性手术科的围患者的治疗结果. 结局,如复发和瘤发育在结直肠和整体外科医生之间是相似的.

科学领域:

结肠直肠手术结肠直肠手术
一般外科整体外科
手术结果研究研究.

背景情况:

急性手术单位 (ASU) 越来越多地利用结肠直肠和整体外科医生.
外科医生专业化在ASU内围腹的管理中的作用还没有得到很好的定义.

研究的目的:

评估结肠直肠 (CR) 外科医生专业化是否与接受ASU的周围腹患者的改善结果有关.
为了比较CR外科医生和非CR整体外科医生治疗的患者之间的复发率和瘤发育情况.

主要方法:

对408名患者进行了回顾性队列研究,这些患者因围而入院ASU (2016-2020年).
排除标准包括IBD,最近的囊治疗或非密码腺体性败血症.
用多变量考克斯回归分析来比较CR和非CR组之间的结果.

主要成果:

结肠直肠外科医生在指数手术中更频繁地发现了片 (34.0%与10.9%相比).
在CR和非CR组之间,在复发 (HR 1.12) 或随后状腺发育 (HR 1.18) 的危险上没有显著差异.
复发率为CR的18.7%,非CR的15.5%,两组中鱼率为14.7%.

结论:

外科医生的专业化与ASU的围瘤管理的改善结果没有关联.
结肠直肠外科医生较高的胞识别率表明,在某些情况下,单独排水可能是足够的治疗方法.
潜在的选择偏差在解释这些发现时需要考虑.

关键词:

一个的.密码腺体的密码腺体.管管是一种管.周围门周围的门.

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