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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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开放腹腔大动脉动脉瘤手术增强恢复的经验教训:一个长期的区域网络经验
Emiliano Chisci1, Sara Simongini1, Tommaso Lazzarotto1
1Department of Surgery, Vascular and Endovascular Surgery Unit, USL Toscana Centro, San Giovanni di Dio Hospital, Florence, Italy.
概括
这种用于修复腹腔大动脉动脉瘤 (AAA) 的增强恢复计划 (ERP) 表明死亡率和并发症率较低. 该协议促进了患者的早期康复,在中心和分支医院的结果相似.
科学领域:
- 血管外科 血管外科
- 外科手术的结果
- 增强的恢复程序 恢复程序
背景情况:
- 主要腹腔大动脉瘤 (AAA) 修复传统上涉及显著的发病率.
- 增强恢复计划 (ERP) 旨在优化大手术后患者的康复.
- 在AAA维修区域网络中实施标准化的ERP需要评估.
研究的目的:
- 介绍一个标准化的增强恢复计划 (ERP) 的结果,用于开放的下腹腔大动脉瘤 (AAA) 修复.
- 评估ERP的可行性和成果在一个区域网络中.
- 评估短期和长期结果,包括死亡率和并发症率.
主要方法:
- 一项前性单中心研究包括778名从2004年1月到2021年12月接受开放性内AAA修复 (≥55毫米) 的患者.
- 患者按照标准化的四阶段ERP进行管理,目标是在术后第4天 (POD4) 退院.
- 排除标准包括高BMI,低功能能力,先前的腹部手术和有限的预期寿命.
主要成果:
- 随访时间中位数为78个月. 平均停留时间,手术时间和血液损失分别为4天,190分钟和564毫升.
- 30天死亡率为0.4% (3名患者),并发症率为9.2% (72名患者).
- 1,5年和10年的总生存率分别为98.2%,85.0%和59.9%. 在1,5年和10年重新干预的自由率为97.9%,94.1%和86.8%.
结论:
- 开放性下AAA修复的ERP协议与低的短期和长期死亡率和并发症率有关.
- 在中心和分支医院治疗的患者之间,结果是可比的,这表明了网络可行性.
- 该ERP协议显示承诺在AAA修复的血管中心广泛采用.
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