上腺手术的外科结果 手术专业是否重要?
Basil Ahmad1, Duva Karunakaran1, Naji J Touma2
1Queen's University School of Medicine, Kingston, ON, Canada.
概括
泌尿科医生和整体外科医生进行上腺切除术,结果相似,但泌尿病例显示30天再入院和重症监护室入院较少. 专业知识和体积可能会影响上腺疾病管理的结果.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 上腺疾病的管理需要一个多学科的方法.
- 手术性上腺切除术是由外科医生和泌尿科医生进行的.
- 在管理上腺疾病的外科子专业之间存在各种各样的专业知识.
研究的目的:
- 定义当代加拿大上腺外科手术的术后结果.
- 为了确定外科子专业是否会影响上腺切除术的结果.
- 评估一般外科和泌尿外科之间上腺手术指示的变化.
主要方法:
- 对103例上腺切除术 (2013年8月至2023年8月) 的回顾性图表审查.
- 排除对其他手术次要的上腺切除术.
- 收集关于患者特征,指示,手术统计和术后结果的数据.
主要成果:
- 泌尿外科进行的上腺切除术比一般外科手术多 (66例) (37例).
- 上腺切除术的适用性与上腺切除术的适用性相似:花色细胞瘤,功能性病变,转移切除术,大小/生长,上腺皮癌.
- 与泌尿器科患者相比,一般外科患者的30天再入院率 (13.5%对1.5%) 和ICU/渐进入院率 (51.4%对28.8%) 较高.
结论:
- 上腺切除术的指示在整体外科和泌尿外科之间是一致的.
- 虽然并发症率相似,但泌尿器科病例显示重新入院和ICU入院率降低.
- 上腺切除术可以由两种专业安全地进行,当地专业知识和外科手术量是关键因素.
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