对于八岁和九岁以外的人来说,胃切除术后的ERAS:单中心回顾性分析
James Tankel1, Giancarlo Sticca1, Anitha Kammili1
1Division of Thoracic and Upper Gastrointestinal Surgery, Montreal General Hospital, McGill University Health Center, Montreal, Quebec, Canada.
概括
80岁以上的癌症胃切除术患者手术后恢复 (ERAS) 的增强可以安全地减少住院时间. 这种方法对于老年癌症患者来说是可行的和有益的,可以改善恢复时间而不会增加并发症.
科学领域:
- 在瘤学瘤学.
- 老年人手术是一门老年人手术.
- 外科手术的结果
背景情况:
- 手术后增强恢复 (ERAS) 协议越来越多地被采用,以优化手术患者护理.
- 在接受重大瘤手术,特别是胃切除术的老年患者 (>80岁) 中,ERAS的应用和安全性仍未得到充分研究.
研究的目的:
- 评估实施ERAS协议的安全性和有效性,用于80岁以上的患者,为胃癌进行选择性胃切除术.
- 确定ERAS是否可以在这个特定的老年人群中减少术后停留时间.
主要方法:
- 一项回顾性单一中心研究比较了在 (A组) 实施ERAS之前 (A组) 和在 (B组) 实施ERAS之后 (2016年1月) 接受胃切除术的80岁以上患者.
- 收集和分析了住院时间,术后并发症和再入院的数据.
- 根据手术方法,切除类型和关键结果指标,将患者组进行比较.
主要成果:
- 与ERAS前组 (A组) (10天) 相比,ERAS组 (B组) 的逗留时间 (5天) 显著较短 (P=.040).
- 在ERAS小组中观察到较早释放 (术后第3天) 的趋势,尽管在统计学上并不显著 (20.6%对9.1%).
- 在两组之间,在术后并发症或再入院率方面没有发现显著差异.
结论:
- 在为胃癌进行胃切除术的老年患者 (>80岁) 中,可以安全地实施手术后增强恢复 (ERAS) 协议.
- 在这种患者群体中,ERAS与术后停留时间的缩短有关,而不会影响安全性或增加并发症率.
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