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手术位置与术后恶心和吐之间的关联在经过腹腔镜袖子胃切除术的患者中

Zhao-Peng Li¹, Yan-Cheng Song¹, Ya-Li Li²

¹Department of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266033, Shandong Province, China.

World journal of gastrointestinal surgery

|August 1, 2024

概括

在腹腔镜袖子胃切除术 (LSG) 期间的手术位置可能会影响术后恶心和吐 (PONV). 然而,这项研究没有发现卧卧和卧卧双腿姿势之间的PONV发病率在统计学上有显著差异.

科学领域:

腹部外科腹部外科
外科手术患者的结果
麻醉学麻醉学

背景情况:

手术后恶心和吐 (PONV) 是疾病肥胖症减肥手术后的常见并发症.
在减肥手术后导致PONV高发病率的确切机制尚不清楚.
研究诸如手术定位等因素对于改善患者康复至关重要.

研究的目的:

为了确定操作位置对在接受减肥手术的患者中PONV发生的影响.
分析手术姿势与PONV发病率和严重程度之间的关系.

主要方法:

从2020年6月至2022年2月期间进行了腹腔镜袖胃切除术 (LSG) 的肥胖患者的数据的回顾性分析.
根据操作位置,患者被分为两组:仰卧式和仰卧式双腿.
统计分析包括多变量逻辑回归和t测试,以评估位置对PONV的影响.

主要成果:

卧卧式分腿组的PONV发病率为50% (15/30),而卧卧式分腿组的发病率为36.7% (11/30),尽管这种差异在统计学上并不显著 (P = 0.297).
与卧卧组 (140.60 ± 32.256 分钟) 相比,卧卧双腿组 (168.23 ± 46.24 分钟) 的手术持续时间明显更长 (P < 0.05).
多变量分析表明,操作位置不是PONV的独立风险因素 (OR = 1.192,95%CI:0.376-3.778,P = 0.766).

结论:

虽然在LSG期间的操作位置可能对PONV有潜在的影响,但在本研究中观察到的发病率差异在统计学上并不显著.
在进行减肥手术之前,需要仔细考虑患者的手术位置,特别是在肥胖的人群中.
可能需要进一步的研究来阐明手术定位在LSG后PONV发展中的确切作用.

关键词:

腹腔外科手术是什么意思腹腔镜外套胃切除术腹腔镜外套胃切除术肥胖问题肥胖问题运营位运营位运营位手术后的恶心和吐.

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