一般外科住院医生参与胸部外科手术对瘤结果的影响:观察性队列研究
Riley S Grogan1, Alex P Wieser2, Barbara A Bennie2
1Department of Medical Education, Gundersen Medical Foundation, La Crosse, WI, USA.
The American surgeon
|July 26, 2024
概括
进行肺癌手术的整体外科住院医生对生存结果没有负面影响. 住院参与与术后发病率降低有关,并没有影响整体或无病生存率.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 整体外科住院医师事务所
背景情况:
- 一般外科医生进行瘤胸部手术尽管分专业化.
- 整形外科住院医生的参与对胸部手术结果的影响还不清楚.
研究的目的:
- 为了确定一般外科医生在胸部手术中的参与是否会影响手术质量或瘤结果.
- 为了比较患者的结果与没有居民参与肺癌切除.
主要方法:
- 对313名患有0-IV期肺癌,接受肺切除手术 (2012-2022) 的患者进行了回顾性审查.
- 根据住院医生或工作人员外科医生完成了>50%的关键手术部分,分组患者.
- 30天发病率,总生存率 (OS) 和无病生存率 (DFS) 的比较.
主要成果:
- 居民参与与显著不同的OS或DFS无关.
- 仅在工作人员组 (OR=1.65) 中,患病率高出65%.
- 住院参与与胸切除术的可能性更高有关,但手术时间不长.
结论:
- 一般外科医生参与肺癌手术对瘤结果没有不利影响.
- 住院参与胸部瘤手术与术后发病率降低有关.
- 胸部手术的结果与一般外科住院医生的参与或不参与是可比的.
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