非恶性左结肠急诊手术:影响临床结果和并发症的因素评估
Mehmet Sabri Çiftçi1, Burak Uçaner2, Mehmet Zeki Buldanlı2
1Department of General Surgery, Sincan Training and Research Hospital, Ankara-Türkiye.
概括
分析了急诊左结肠手术的结果. 在这些良性结直肠切除中,晚年,使用血管压缩剂,血小板数量低,低蛋白血和亚血增加了术后发病率.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 紧急结直肠切除在一般外科手术中很常见.
- 左结肠病理是这些手术的常见征兆.
- 这项研究重点关注左结肠手术的良性病因.
研究的目的:
- 评估对良性疾病的急诊左结肠手术的结果.
- 确定术后发病率和死亡率的临床病理学和生化预测因素.
主要方法:
- 对48名接受左结肠手术的患者的回顾性评估 (2017年1月至2022年1月).
- 不包括恶性瘤相关的紧急情况.
- 对人口统计,临床和实验室数据的分析.
主要成果:
- 复杂的急性角膜炎是最常见的征兆 (39.6%).
- 哈特曼手术是最常见的手术技术 (62.5%).
- 手术后发病率为27.1%,死亡率为8.3%.
- 患病率的预测因素包括晚年,血管压缩剂的使用,低血小板数量,低albuminemia和azotemia.
结论:
- 在紧急的左结肠手术中,全面的术后评估至关重要.
- 特别注意的是老年人,低血压患者和脏异常.
- 需要血管压缩剂的患者需要谨慎管理,以减轻风险.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
79
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
79
01:25Endoscopic Procedures II: Colonoscopy
90
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
90
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
01:21Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145