手术开始时间对选择性结肠直肠癌手术的影响:倾向性得分匹配分析
Ze-Lin Wen1, Xiong Zhou1, Dong Peng2
1Department of Gastrointestinal Surgery, Yongchuan Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Medicine
|February 2, 2024
概括
手术开始时间会影响选择性结肠直肠癌手术的结果. 夜间手术与较高的严重并发症率有关,因此在晚期手术时需要谨慎.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术结果研究研究.
- 患者安全 患者安全
背景情况:
- 选择性结直肠癌 (CRC) 手术的时间是影响患者结果的潜在因素.
- 了解手术开始时间 (白天与晚上,早晨与下午) 的影响对于优化患者护理至关重要.
研究的目的:
- 研究选择性结肠直肠癌 (CRC) 手术中手术开始时间和短期结果之间的关联.
- 分析白天对晚上和早上对下午手术时段对患者康复的影响.
主要方法:
- 从2008年到2021年,对6783名接受CRC手术的患者进行了回顾性分析.
- 使用倾向分数匹配 (PSM) 来平衡手术时间组之间的基线特征.
- 进行了单变量和多变量分析,以确定手术并发症的预测因素.
主要成果:
- 在PSM之后,与夜间手术相比,日间手术与更长的手术时间和住院时间有关.
- 早晨的手术,无论是在PSM之前还是之后,都比下午的手术更长的操作时间.
- 夜间手术成为主要并发症 (OR=1.763,P=.002) 的重要预测因素,但不是整体并发症.
结论:
- 夜间手术是选择性结肠直肠癌手术后出现重大并发症的重要预测因素.
- 外科医生应提高警,并可能实施用于夜间可选CRC手术的特殊协议,以减轻风险.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
01:25Endoscopic Procedures II: Colonoscopy
99
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
99