口腔切除术趋向于对良性疾病的门诊治疗
Andrew D P Prince1, Kimberly Oslin1, Josh D Smith1
1Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
概括
门诊切除术是对良性瘤的一种安全且具有成本效益的手术. 与住院患者相比,这种方法没有增加并发症,支持更广泛的采用.
科学领域:
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 口腔切除术是对良性瘤的一种常见的手术程序.
- 门诊外科手术的趋势在各个医学领域都在增加.
研究的目的:
- 评估门诊性切除术的安全性和成本效益.
- 确定影响计划入院与门诊程序的因素.
- 分析与门诊肺切除术相关的趋势和结果.
主要方法:
- 在一个单一的高等学术中心进行的回顾性队列研究.
- 在2018年至2023年期间,对370个良性瘤的胸膜切除术进行了审查.
- 分析影响入院状态,手术方法和手术地点的因素.
主要成果:
- 与住院手术相比,门诊切除术在并发症,再入院或复发方面没有显著差异.
- 减少门诊手术的可能性的因素包括更长的旅行时间和全侧切除术.
- 较长的手术时间增加了切换到住院病人的几率,而排水放置降低了门诊病人的几率.
- 在COVID-19声明后,观察到对门诊肺切除术的显著趋势,并没有增加并发症.
- 门诊切除术导致每例3838美元的显著成本节省,而不是一夜之间入院.
结论:
- 门诊性乳腺切除术是患有良性乳腺瘤的患者的安全和可行的选择.
- 该程序是有效的,无论入院状态的变化,手术方法 (表面与整体) 或手术部位 (行医室与医院).
- 机构可以安全地增加门诊肺切除术率,从而提高成本效益.
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