在 laparoscopic 部分切除术中进行开放性手术转换的危险因素,以实现脏节约
Emin Taha Keskin1, Osman Can2, Harun Özdemir2
1Department of Urology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey. emintaha90@hotmail.com.
Annals of surgical oncology
|March 8, 2024
概括
将腹腔镜部分切除术 (LPN) 转换为开放手术的危险因素包括更高的手术内流血,上极瘤和后极瘤. 输血量为235厘米的血流量预测了转化风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
背景情况:
- laparoscopic 部分切除术 (LPN) 是一种最小的侵入性方法来切除脏瘤.
- 在LPN期间转换为开放性手术可以增加发病率并延长恢复时间.
研究的目的:
- 确定预测从LPN转换为开放手术的风险因素.
- 建立一个指向转化风险的手术内失血的门值.
主要方法:
- 在2020年6月至2023年9月期间接受LPN的107名患者的回顾性分析.
- 全腹腔镜 (FL) 和转换为开放 (CTO) 组之间的人口和病理变量比较.
- 单变量和多变量回归分析,以确定转换的预测因子;ROC分析用于血液损失的切断值.
主要成果:
- 在9.3%的病例中 (10/107) 转换为开放性手术.
- 较高的手术内流血,上极和后部瘤位置与转化有显著的相关性 (p<0.05).
- 235cc的输血量被确定为预测转换的切断值 (p=0.001).
结论:
- 术内流血,上极和后部瘤位置是LPN对开放手术转换的重要预测因素.
- 这些因素可以为手术规划提供信息,并可能指导在开放式和最小侵入性方法之间做出选择.
- 在手术前确定这些风险因素,可以更好地准备潜在的手术内转换.
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