腹腔镜结肠手术:是时候把尿导管留在手术室了吗?
Christophe Riquoir1, Javier Vela2, Raquel Lascano3
1Division of Surgery, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Updates in surgery
|October 28, 2024
概括
在离开手术室之前去除尿导管对于选择的腹腔镜结肠手术患者来说是安全的. 这种方法没有增加并发症或尿路保留,支持早期导管切除,增强恢复途径.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 在外科手术期间的医学.
背景情况:
- 快速通道指南强调多式外科外科优化,腹腔镜可增强早期康复.
- 目前的建议建议在术后24小时内切除尿管.
- 有限的研究存在于手术室尿导管遗漏的可行性.
研究的目的:
- 在手术室出院时,比较经过选择性腹腔镜大肠切除术的患者的术后结果,有和没有尿导管.
主要方法:
- 对从107名接受选择性结肠切除的患者前性收集的数据进行了回顾性分析.
- 患者根据在离开手术室时尿导管的存在或不存在来分组.
- 在两个组之间比较了术后结果.
主要成果:
- 两组之间整体或严重并发症率没有显著差异 (分别为25%与26.6%和7.14%与5.06%).
- 尿路感染和导管再插入是罕见的,两组之间没有显著差异 (再插入的比例为0%和2.53%).
- 在OR退出的尿管和没有尿管的患者之间,停留时间是相似的.
结论:
- 在离开手术室之前省略尿导管似乎对接受腹腔镜结肠或上直肠切除的选定患者是安全的.
- 这种做法与非常低的尿率有关.
- 支持早期尿管导管切除的潜力,作为增强恢复协议的一部分.
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