门诊甲状腺切除术的临床结果:系统性审查和单臂元分析
Hayato Nakanishi1, Rongzhi Wang2, Shahid Miangul1
1St George's University of London, London, SW17 0RE, UK; University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus.
American journal of surgery
|March 5, 2024
概括
门诊甲状腺切除术对于选定的患者来说是一种安全的手术,24小时和当天出院的并发症率很低. 这一元分析证实了门诊甲状腺手术的安全性.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 甲状腺切除术是一种常见的外科手术.
- 门诊甲状腺切除术提供了潜在的好处,但需要仔细评估安全性.
- 退院标准 (24小时与当天) 影响患者管理.
研究的目的:
- 评估门诊甲状腺切除术的安全性.
- 根据24小时和当天出院的标准来比较并发症率.
- 为安全实施门诊甲状腺手术提供证据.
主要方法:
- 在CENTRAL,Embase,PubMed和Scopus的综合文献搜索.
- 31项研究的元分析,包括74,328名患者.
- 在PROSPERO (CRD42022361134) 预期注册.
主要成果:
- 门诊甲状腺切除术的整体并发症率为5.7%.
- 具体并发症包括血瘤 (0.4%),喉神经复发性损伤 (0.4%) 和低血症 (1.6%).
- 再录取率为1.1%;同日出院标准观察到类似的结果.
结论:
- 门诊甲状腺切除术是选择性甲状腺疾病患者的安全和可行的选择.
- 这些发现支持使用24小时和当天放电协议.
- 进一步的研究可能会完善患者选择的门诊甲状腺手术.
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