通过使用NSQIP数据库比较由于胆结石结石导致的肠道阻塞的操作管理结果
Varun Rao1, Genaro DeLeon1, Timothy Becker1
1Indiana University School of Medicine, 340W 10th St, Indianapolis, IN 46202, USA.
Surgery in practice and science
|January 23, 2025
概括
无论同时进行胆囊切除 (胆囊切除术) 还是不同时进行,胆结石结石手术的结果都是相似的. 这一发现表明,对于这种罕见的疾病,手术方法具有灵活性.
科学领域:
- 胃肠病学 胃肠病学
- 手术结果研究研究.
背景情况:
- 胆结石结石是肠道阻塞的罕见原因,通常需要手术.
- 没有确立的指导方针执行同时胆囊切除术 (CCY) 在初始手术的胆结石.
研究的目的:
- 为了比较胆结石结石患者的短期术后结果,这些患者接受了手术,并没有同时进行胆囊切除术.
主要方法:
- 对ACS NSQIP数据库 (2005-2019) 的分析,用于治疗胆结石病的患者.
- 结果的比较,包括手术部位感染 (SSI),30天死亡率,再入院,停留时间,返回OR,以及CCY和没有CCY的群体之间的败血症.
- 使用单变量和多变量逻辑回归进行统计分析.
主要成果:
- 两组之间没有观察到SSI率,再入院,30天死亡率或败血症的显著差异.
- 没有CCY的患者住院时间较长 (8 vs. 5天,p<0.01).
- 在没有CCY组 (p=0.08) 中,发现了更多返回手术室的趋势.
结论:
- 带有或没有CCY的胆结石内的手术治疗,在术后的短期内产生了类似的结果.
- 同时进行胆囊切除的决定可以根据患者的因素和外科判断进行个性化.
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