没有血液透析的功能衰竭是结肠直肠癌手术中术后并发症的危险因素
Takaaki Fujimoto1, Shigetaka Inoue1, Taketo Matsunaga1
1Department of Surgery, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan.
Cancer diagnosis & prognosis
|May 6, 2024
概括
功能衰竭 (RF) 显著增加了手术后并发症和住院时间,大肠直肠癌 (CRC) 患者接受手术. 对这个高风险群体来说,仔细的术后管理至关重要.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科手术的结果
背景情况:
- 结肠直肠癌 (CRC) 患有功能衰竭 (RF) 的患者的手术结果需要进一步澄清.
- 研究射频对CRC手术结果的影响对于患者护理至关重要.
研究的目的:
- 确定功能衰竭 (RF) 对诊断为结直肠癌 (CRC) 的患者手术结果的影响.
主要方法:
- 对633名为CRC进行结直肠切除的患者的回顾性分析 (2017年1月 - 2021年12月).
- 具有和没有射频的患者之间的结局的比较 (定义为EGFR<30mL/min/1.73m2).
主要成果:
- 衰竭 (RF) 在7%的患者中被发现,是术后并发症的重要危险因素 (OR=2.19,p=0.0284).
- 患有RF的患者表现出较高的并发症,较差的ASA状态,较低的血红蛋白和PNI水平.
- 射频患者经历的术后并发症显著增加 (p=0.016) 和住院时间更长 (p<0.01).
结论:
- 功能衰竭 (RF) 与结直肠癌 (CRC) 患者的不良手术结果有关.
- 对于具有损害的CRC患者,需要加强外科手术期间的管理策略.
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