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在袖子胃切除术后需要进行常规的术后生物实验室评估吗?
Evangelia Triantafyllou1, Vincent Scholer1,2, Daniela Calabrese1,3
1Service de Chirurgie Digestive, Oesogastrique Et Bariatrique, Hôpital Bichat Claude Bernard, APHP, 75018, Paris, France.
Obesity surgery
|January 25, 2024
概括
在袖子胃切除术 (SG) 后的例行实验室监测显示,对早期发现并发症的益处有限. 然而,这种做法与更长的住院时间有关,这表明它可能不是术后护理的成本效益.
科学领域:
- 腹部外科 腹部外科
- 手术并发症 手术并发症
- 术后护理 术后护理
背景情况:
- 袖子胃切除术 (SG) 后的术后并发症并不常见,但需要及时识别.
- 早期发现并发症对于患者的治疗结果至关重要.
- 这项研究调查了常规实验室监测对于诊断SG后并发症的有用性.
研究的目的:
- 评估常规实验室监测对早期诊断袖子胃切除术后并发症的影响.
- 为了比较常规实验室监测和没有常规实验室监测的患者之间的并发症率,停留时间和再入院.
主要方法:
- 一项比较研究包括了457名从2018年1月到2019年12月接受初级袖子胃切除术 (SG) 的患者.
- 患者被分为两组:常规实验室监测 (LAB组) 和没有常规监测 (对照组).
- 主要终点是常规监测的整体影响;次要终点包括并发症评估.
主要成果:
- 实验室实验室组的停留时间明显较长 (5.7天与3.5天相比,p < 0.001).
- 复发率 (6.0%对3.5%) 和再入院率 (2.9%对2.0%) 在各组之间没有显著差异.
- 46.3毫克/升的C-反应蛋白切割值被发现对并发症有意义 (p=0.006).
结论:
- 在SG后的例行实验室监测似乎在早期诊断并发症时具有有限的价值.
- 这种做法与早期发现并发症无关,并且与增加住院时间有关.
- 目前的常规实验室监测协议可能需要重新评估成本效益和患者益处.
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