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日间与夜间尾切除术在并发症和临床结果方面:一个元分析
Gang Tang1, Jumei Wang1, Rui Chen1
1Division of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
International journal of colorectal disease
|August 14, 2024
概括
与白天手术相比,夜间尾切除没有增加患者死亡或并发症的风险. 然而,夜间手术的转化率更高,转化为腹腔切除术.
科学领域:
- 外科手术的结果
- 急性护理手术是急性护理手术.
- 附录是管理的管理.
背景情况:
- 尾炎是全世界常见的外科紧急情况.
- 夜间尾切除术对患者结局的影响尚不清楚.
- 这项研究调查了夜间与白天尾切除术的结果.
研究的目的:
- 为了比较夜间和白天尾切除术之间的术后并发症和死亡率.
- 评估二次结果,包括手术内并发症,重新手术和再入院.
- 为了确定转换到腹腔切除率的潜在差异.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和科学网络的系统文献搜索.
- 包括15项研究,包括33596名患者.
- 超分析计算几率比率和平均差异,使用95%的置信区间.
主要成果:
- 在整体术后并发症,死亡率,手术后并发症,重新手术或再入院方面没有显著差异.
- 夜间尾切除术与转换为腹腔切除术的风险显著增加有关 (OR 1.92).
- 分析包括到2024年7月1日的数据.
结论:
- 夜间尾切除术不会增加术后死亡或并发症的风险.
- 在夜间尾切除术中转换为腹腔切除术的更高率需要进一步调查.
- 研究结果支持夜间尾切除术对重大不良事件的安全性.
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