范围审查:用于描述主要腹部外科手术程序的术语
Alona Courtney1,2, Jonathon Clymo3, Yasmin Dorudi4
1Department of Targeted Intervention, Division of Surgery & Interventional Sciences, University College London, London, UK.
World journal of surgery
|February 11, 2024
概括
定义重大腹部手术 (MAS) 由于其对患者的重大影响至关重要. 本研究提出了基于对外科手术程序和术语的全面审查的MAS定义.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
背景情况:
- 大型腹部手术 (MAS) 的定义缺乏共识,影响了患者护理和研究.
- 现有的文献使用不同的术语来描述MAS程序.
- 需要一个明确的定义来规范MAS的理解和应用.
研究的目的:
- 识别和分析用于描述主要腹部手术程序的术语.
- 根据已识别的术语,提出对主要腹部手术的标准化定义.
主要方法:
- 在多个数据库 (Ovid MEDLINE,Embase,PubMed,Web of Science) 中进行了全面的文献搜索.
- 包含了描述MAS程序的原始研究文章,这些文章于1980年至2022年4月发表.
- 对312篇选定的文章进行了内容分析,以确定与MAS相关的关键术语.
主要成果:
- 总共有5,663篇文章最初被确定,其中312篇被纳入范围审查.
- 内容分析揭示了四大类:手术前,手术内,手术相关和手术后的因素.
- 与手术相关的因素,特别是胃肠切除,是分析文献中占主导地位的主题.
结论:
- 拟议的定义:重大腹部外科手术涉及无初级胸部干预的腹腔内手术,包括光线或固体胃肠器官切除.
- 这个定义需要使用真实世界的临床数据进行进一步验证.
- 标准化MAS的定义将提高研究和临床实践的一致性.
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