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在急性囊切除术中手术部位感染的分类和危险因素:一项16年的分析

Soum D Lokeshwar¹, Ankur U Choksi¹, Shayan Smani¹

¹Department of Urology, Yale School of Medicine, New Haven, Connecticut, USA.

Surgical infections

|July 3, 2024

概括

身体质量指数 (BMI) 是激进囊切除术 (RC) 后手术部位感染 (SSI) 的重要危险因素. 机器人与开放程序对SSI率没有影响,但感染导致更长的住院时间.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
传染性疾病传染性疾病

背景情况:

手术部位感染 (SSI) 是激进囊切除术 (RC) 后的一个显著并发症,影响患者的发病率.
识别风险因素和了解RC后SSI的治疗模式对于改善患者的治疗结果至关重要.

研究的目的:

确定激进囊切除术 (RC) 后发展SSI的独立风险因素.
为了分类和描述不同类型的SSI后RC的治疗策略.

主要方法:

对2007年至2022年间接受RC的患者的术前特征和SSI数据的回顾性分析.
患者被分为SSI和非SSI组;用于识别相关因素的后勤回归分析.
根据疾病控制和预防中心 (CDC) 的分类,SSI被分类为:表面切口,深切口和器官/空间.

主要成果:

在398名RC患者中 (279名开放,119名机器人),78名 (19.6%) 患有SSI. 患有SSI的患者的BMI较高 (25.39对24.34),住院时间较长 (12.4对8.8天).
身体质量指数 (BMI) 被确定为SSI的一个独立风险因素 (OR:1.06,p=0.02). 手术方法 (开放式与机器人) 并不是一个显著的预测因素.
表面切口SSI (12.8%) 用抗生素进行了保守的管理. 深度切口SSI (30.8%) 需要抗生素,50%需要手术. 器官/空间SSI (56.4%) 用抗生素治疗,并且经常需要IR排水装置 (68.2%).

结论:

升高的BMI是急性囊切除术后手术部位感染的重要独立风险因素.
手术方法的类型 (机器人 vs 开放) 不影响SSI风险. 对SSI的管理策略因其分类 (表面,深层或器官/空间) 而有所不同.

关键词:

膀癌:膀癌是一种癌症.开放式囊切除术是什么机器人囊切除术是一种机器人囊切除术.手术部位感染手术部位感染

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