随着时间的推移,美国的胆管切除术后的结果是否有所改善?
William J Kane1, Michael Kuron2, Jordan L Gooding3
1Department of Surgery, University of Virginia, Charlottesville, VA, USA.
American journal of surgery
|June 29, 2024
概括
最少侵入性手术 (MIS) 的采用增加,导致全国范围内更好的切除术结果. 术后停留时间和手术部位感染在2012年至2020年期间显著下降.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 改善外科手术的质量
- 最少侵入性的手术
背景情况:
- 提高结直肠外科手术质量的努力包括最少的侵入性技术和增强的恢复协议.
- 虽然指出了制度上的改善,但国家范围内的好处仍然不清楚.
研究的目的:
- 评估国家对集体切除术结果的趋势.
- 评估质量改善举措对患者护理的影响.
主要方法:
- 美国外科医生学院国家外科质量改进计划 (ACS NSQIP) 数据 (2012-2020) 的分析.
- 包括接受微创手术或开放式切除术的患者.
- 使用回归分析评估30天的术后结果.
主要成果:
- 在2012-2014年和2018-2020年期间,微创手术 (MIS) 从59%增加到66%.
- 术后停留时间平均减少了1天.
- 表面和深部手术部位感染显著减少.
- 肺栓塞率下降,而30天死亡率保持稳定.
结论:
- 在2012年至2020年期间,在全国范围内观察到集体切除术结果的显著改善.
- 广泛采用质量改进举措对结直肠患者的护理产生了积极的影响.
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