相关实验视频

Updated: May 31, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

在紧急小肠或结肠手术中增加伤害控制腹腔切除术的使用:它是否会影响患者的结果?

Connor P Littlefield¹, Maosong Ye¹, Linder Wendt²

¹Carver College of Medicine, University of Iowa, Iowa City, IA, USA.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

|January 24, 2025

概括

在紧急手术中使用损伤控制腹腔切除术 (DCL) 的情况每年都在增加. 虽然感染性休克病例增加,但住院时间减少,死亡率保持稳定.

科学领域:

手术成果研究的研究结果.
紧急医疗紧急医疗
腹部外科手术腹部外科手术

背景情况:

有限的证据指导在紧急手术中使用损伤控制腹腔切除术 (DCL).
DCL是针对特定的腹部紧急情况的关键干预.

研究的目的:

评估DCL用于新出现的小肠或结肠手术的时间趋势.
评估DCL对患者结局的影响,包括死亡率,停留时间和并发症.
测试DCL使用在患有并发症或败血症休克的患者中增加的假设,改善了结果.

主要方法:

分析2014年至2020年国家外科质量改善计划 (NSQIP) 数据.
包括接受DCL的患者,因为新出现的小肠或结肠手术.
随着时间的推移,对DCL发病率,住院死亡率,住院时间 (LOS),并发症和30天再入院率的评估.

主要成果:

DCL发病率显示每年显著增加 (OR = 1.07,p < 0.001).
在研究期间,手术前感染性休克的患病率也增加了 (OR = 1.04,p = 0.007).
尽管感染性休克增加,但住院死亡率和再入院率保持不变,而平均LOS显著下降 (OR = 0.93,p < 0.001).

结论:

外科医生使用DCL每年增加7%.
该研究观察到随着时间的推移,医院LOS的减少,尽管手术前感染性休克的发生率增加.
在整个研究期间,死亡率保持一致,尽管患者人口结构和外科手术实践不断变化,但结果稳定.

关键词:

急性护理手术是急性护理手术.损害控制腹腔切除术腹腔切除术紧急的一般外科手术.突发性结肠外科手术是什么新出现的小肠外科手术.

更多相关视频

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Published on: June 17, 2018

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

相关概念视频

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...