与同时进行泛切除术进行腹腔 Hernia 修复后的结果:一个大型数据库审查
Amy Gin Gossett1, Justin D Leavitt, W Borden Hooks
1From the Department of Surgery, New Hanover Regional Medical Center, Novant Health, Wilmington, NC.
Journal of the American College of Surgeons
|January 16, 2025
概括
与腹腔修复 (VHR-PAN) 同时进行切除术不会增加手术部位发生 (SSO) 或复发. 这种联合手术对于接受VHR的选定患者来说是一个安全的选择.
科学领域:
- 腹部外科手术 腹部外科手术
- Hernia 修复 Hernia 修复 的方法
- 外科手术的结果
背景情况:
- 患有大和腹的患者可能受益于联合泛尼古乐切除术和开放腹修复 (VHR-PAN).
- 人们对手术部位发生的增加 (SSO) 存在担忧,此外还增加了手术部位切除术.
- 本研究评估了开放式VHR的结果,并没有并发的胰腺切除术.
研究的目的:
- 为了比较开放腹腔修复 (VHR) 的短期和1年的结果,并没有并发的切除术 (VHR-PAN).
- 在接受VHR-PAN的患者中识别与手术结果相关的风险因素.
主要方法:
- 使用了腹部核心健康质量集体数据库 (2012-2023).
- 在VHR-only和VHR-PAN组之间比较了患者和手术特征,短期结果 (SSI,SSO,手术干预) 和1年结果 (患者报告的结果,复发).
- 使用后勤回归来识别风险因素.
主要成果:
- 从28,140个开放的VHR病例中分析了2,108名患者 (870名VHR-PAN).
- VHR-PAN患者更有可能是女性,BMI>40和更大的宽度.
- 匹配分析显示,VHR-PAN和VHR-only组之间的SSI,SSO,SSO需要干预或1年复发率没有显著差异.
结论:
- 同时使用VHR-PAN与并发症风险显著增加无关.
- 对于需要腹修复的选定患者,可以安全地考虑使用VHR-PAN.
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