胸腔挖掘器修复后的结果:中心体积很重要
Carlos Theodore Huerta1, Michael D Cobler-Lichter1, Royi Lynn2
1DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, FL, USA.
Journal of pediatric surgery
|February 15, 2024
概括
儿科胸部修复的结果在高人数的中心更好. 这些中心在儿童中显示出较少的并发症和重新入院,用于修复乳腺 (Pectus excavatum).
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 医疗保健研究成果 研究成果
背景情况:
- 胸腔挖掘 (Pectus) 修复是为了显著的心肺损伤或美容问题而进行的.
- 医院手术体积对儿科乳腺癌修复结果的影响仍未得到充分研究.
研究的目的:
- 为了研究医院外科手术体积和儿科患者进行乳腺修复后的术后结果之间的关系.
- 为了比较高容量中心 (HVC) 和低容量中心 (LVC) 之间的结果,用于Pectus修复.
主要方法:
- 使用全国再接收数据库 (2016-2020) 进行的回顾性比较研究.
- 患有Pectus (Q67.6) 的患者被分为HVCs (≥20次修复/年) 和LVCs (<20次修复/年).
- 分析了人口统计和结果,包括指数录取并发症和再录取.
主要成果:
- 总共分析了9414例儿科乳腺修复;69%在HVC,31%在LVC.
- LVCs的肺胸部,胸管安置和整体外科手术后并发症的发生率明显较高.
- 与HVC相比,LVC的30天内和整体再录取率在LVC中更高.
结论:
- 在大批量中心进行儿科乳腺修复与改善的结果有关,包括更少的指数并发症和减少再入院.
- 患者和外科医生在选择乳腺修复中心时应考虑体积与结果的关系.
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