术后改善恢复 (ERAS) 在静脉静脉逆转手术:一个系统性审查和元分析
Túlio Pimentel1, Dante L S Souza2, Ivonne Zuniga3
1Federal University of Pernambuco, Recife, Pernambuco, Brazil. tulio.pimentel@ufpe.br.
Updates in surgery
|January 12, 2025
概括
与标准护理相比,手术后增强恢复 (ERAS) 协议显著减少了口腔逆转患者的住院和伤口感染. 这种方法提供了更好的结果,而不会增加整体并发症.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 基于证据的医学基于证据的医学.
背景情况:
- 胃口逆转手术的并发症率很高.
- 术后增强恢复 (ERAS) 协议已在结直肠外科手术中建立,但对于静脉门的逆转尚未得到充分研究.
- 这项研究解决了评估ERAS在门逆转手术中的必要性.
研究的目的:
- 系统地审查和元分析ERAS协议下对标准护理 (SC) 进行的口腔逆转手术的临床结果.
- 为了比较关键的术后终点,包括停留时间,并发症和再入院率.
主要方法:
- 系统审查和对比ERAS和SC的研究的元分析.
- 在Medline,EMBASE和Cochrane中央数据库中进行了搜索.
- 分析了停留时间,腹膜,伤口感染,位泄漏,第一次便的时间,并发症,再入院和重新手术率.
主要成果:
- 通过ERAS协议,停留时间 (LOS) (MD-1.83天) 和第一次便的时间 (MD-1.02天) 显著减少.
- 埃拉斯与伤口感染的显著减少有关 (OR 0.47).
- 没有发现阴道,道泄漏,整体并发症,再入院或重新手术率的显著差异.
结论:
- ERAS协议与更短的住院时间和减少门逆转手术中的伤口感染有关.
- 应考虑在胃口逆转方面实施ERAS,以改善患者的治疗结果.
- 埃拉斯 (ERAS) 协议似乎并没有增加静脉栓逆转手术的整体发病率.
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