评估在腹腔镜激进切除术 (LRN) 后进行术后第一天实验室的必要性
Neda Qosja1, Laura E Geldmaker2, Taylor Fuqua1
1Department of Urology, Mayo Clinic, Jacksonville, FL, USA.
Translational andrology and urology
|December 19, 2024
概括
在腹腔镜激进切除术 (LRN) 后,常规的术后第一天 (POD1) 实验室通常是不必要的. 然而,POD1实验室适用于接受LRN的老年患者,具有较高的并发症得分.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 最少侵入性的手术
- 尿道瘤学 尿道瘤学
背景情况:
- 腹腔镜激进切除术 (LRN) 的标准术后护理包括例行血液检查.
- 最近的研究探讨了在最小侵入性手术中省略常规实验室,以削减成本.
- 这项研究评估了LRN后手术后第一天 (POD1) 实验室的必要性.
研究的目的:
- 为了确定是否需要在LRN之后进行常规POD1实验室测试.
- 为了确定与异常POD1实验室结果相关的患者因素.
- 为临床实践提供有关LRN后手术后监测的信息.
主要方法:
- 对478个LRN病例进行了回顾性分析.
- 评估POD1的,和血红蛋白水平.
- 实验室异常与手术前和手术内变量的相关性.
主要成果:
- 在32.4%的患者中发现异常的POD1实验室 (K,Na,Hgb).
- 年龄较大,查尔森并发症指数较高,手术期间血流增加与实验室异常有关.
- 手术时间和并发症与异常的POD1实验室没有显著的相关性.
结论:
- 在LRN之后的常规POD1实验室并不普遍必要.
- 对于具有较高并发症指数的老年患者,建议对POD1进行实验室测试.
- 这些发现支持在LRN患者手术后实验室监测中采取更有选择性的方法.
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