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紧急瘤外科手术的质量:是时候进行先进的瘤生命支持了
Fábio de Oliveira Ferreira1, Tibério Moura de Andrade Lima2, Edivaldo Massazo Utiyama3
1Universidade de São Paulo, Clinical Hospital, Cancer Institute, Faculty of Medicine - São Paulo (SP), Brazil.
概括
巴西的外科瘤紧急情况通常涉及训练不足的外科医生,导致结果较差. 一个提议的高级生命支持课程和国家注册表可以改善对需要紧急手术的癌症患者的护理.
科学领域:
- 在瘤学瘤学.
- 手术急救护理 手术急救护理
背景情况:
- 癌症患者在紧急外科护理中的结果受到治疗地点和外科医生的专业知识的影响.
- 巴西的许多瘤紧急情况在一般医院中由缺乏专门瘤培训的外科医生管理.
研究的目的:
- 对瘤外科手术紧急情况的质量指标进行审查.
- 为紧急瘤手术提供先进的生命支持课程.
主要方法:
- 对有关瘤紧急情况和手术结果的现有文献进行了综述.
主要成果:
- 与选择性手术相比,非选择性癌症手术通常具有更高的发病率和死亡率.
- 紧急设置损害了外科手术的激进性,由摘取的淋巴结数量较少和较高的阳性边缘率证明.
结论:
- 外科医生培训是改善紧急瘤手术结果的关键可修改因素.
- 建立针对瘤紧急情况的国家登记,制定质量指标和创建专门的培训计划是必不可少的.
- 医疗专业之间的合作和医学协会的支持对于提高紧急瘤外科手术实践至关重要.
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