影响肝功能异常的因素 在 laparoscopic 食道食道 Hernia 修复后
Jin Wu1, Hao Feng, Zhen-Yuan Wang
1Department of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People's Republic of China.
Surgical laparoscopy, endoscopy & percutaneous techniques
|December 5, 2024
概括
经过长时间的手术时间是 laparoscopic食道缺口修复后异常肝功能的唯一确定的风险因素. 这一发现强调了优化手术持续时间的重要性,以确保患者安全和更好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 手术瘤学手术瘤学
背景情况:
- laparoscopic食道缺口的修复是一个常见的程序.
- 肝功能异常可能发生在术后.
- 识别风险因素对于患者管理至关重要.
研究的目的:
- 为了调查与腹腔镜食道椎间板裂修复后的异常肝功能相关的因素.
- 确定与术后肝功能障碍相关的特定临床和手术参数.
主要方法:
- 对347名接受了腹腔镜食道椎间板裂修复的患者进行了回顾性分析.
- 患者分为正常 (NLA) 和异常 (LA) 的肝功能组.手术后.
- 二元逻辑回归用于识别异常肝功能风险因素.
主要成果:
- 68.6%的患者经历了手术后的肝功能异常.
- 异常的肝功能与更大的尺寸,低血压和更高的端潮二氧化碳有关.
- 长时间的运行时间是唯一发现的重大风险因素 (OR=1.017).
结论:
- 长时间的手术时间是术后肝功能异常的唯一确定的风险因素.
- 优化手术持续时间可能有助于减轻肝功能障碍的风险.
- 进一步的研究可以探索在这些手术中减少手术时间的策略.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
49
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
49
Esophageal Varices-I: Introduction
73
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
73
Esophageal Strictures-I: Introduction
65
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
65
Barrett Esophagus-II: Clinical Manifestations and Management
104
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
104
Gastroesophageal Reflux Disease II: Clinical Features and Management
54
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
54
Esophageal Perforation-II: Clinical Manifestations and Management
44
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
44


