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吸烟史对机器人横行性食道切除术患者结局的影响
Shlomi Rayman1,2,3, Sharona Ross4, Iswanto Sucandy1
1Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Drive, Suite#500, Tampa, FL, 33613, USA.
Journal of robotic surgery
|February 14, 2024
概括
当前或过去的吸烟者经历了机器人跨阴道食道切除术,经历了更长的手术时间,但术后结果和生存率与非吸烟者相似. 这一发现表明,在此过程中,吸烟史不会显著影响短期结果.
科学领域:
- 手术瘤学手术瘤学
- 胸部外科手术 胸部外科手术
- 机器人手术 机器人手术
背景情况:
- 癌症的食道切除具有很高的发病率和死亡率.
- 吸烟史与食道切除术后术后并发症增加有关.
研究的目的:
- 为了评估吸烟或吸烟史对手术前期结果和机器人横切肠道食道切除术后的发病率的影响.
主要方法:
- 预期对75名接受机器人跨阴道食道切除术的患者进行随访.
- 根据吸烟史,患者被分为"吸烟者" (n=44) 和"非吸烟者" (n=31).
- 操作时间,血液损失,术后并发症,死亡率,停留时间,再入院,存活率和成本的比较.
主要成果:
- "吸烟者"的手术时间明显较长 (p=0.02),但与"非吸烟者"相比,血液损失相当.
- 在术后并发症 (Clavien-Dindo分数≥III),住院死亡率,住院时间长度或30天再入院方面没有发现显著差异.
- "吸烟者"的住院费用较低 (p=0.05),两组生存率相似.
结论:
- 吸烟状况不会显著影响关键的术后结果或机器人转阴道食道切除术后的生存.
- 当前或过去的吸烟者经历了更长的手术时间和更低的医院费用.
- 进一步的研究可能会探索长期影响和特定的并发症概况.
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