在比利时食道手术中心实施时代
Yaliva Dorreman1, Hanne Vanommeslaeghe2, Piet Pattyn2
1UZ Ghent, Ghent, Belgium. yaliva.dorreman@uzgent.be.
Updates in surgery
|February 8, 2025
概括
比利时食管外科手术中心表现出良好的实施手术后增强恢复 (ERAS) 协议. 然而,在应用这些指南的国家统一性需要改进,以优化患者的结果.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 临界护理医学 临界护理医学
背景情况:
- 癌症的食管切除术是一种具有高风险的复杂程序.
- 自2019年以来,比利时的食道手术集中化旨在改善结果.
- 手术后增强恢复 (ERAS) 准则于2019年发布,用于食道切除术.
研究的目的:
- 评估比利时食道手术中心对ERAS指南的实施水平.
- 评估ERAS实施与患者结果之间的相关性.
- 找出需要改进的区域,在术后护理的食道切除术.
主要方法:
- 在比利时的集中食道手术中心的外科医生分发了Delphi问卷.
- 开发了一个ERAS评分系统来量化指导方针的实施.
- 收集了术后护理和结果 (停留时间,并发症,死亡率) 的数据.
主要成果:
- 达到了94.1%的高响应率.
- 平均ERAS分数为20分之15.5,表明整体实施良好.
- 解剖管泄漏率为14.6%,肺炎为20.8%,平均停留时间为12天,30/90天死亡率为3.2%/6.6%.
结论:
- 在比利时食道手术中心,ERAS指南的整体实施情况良好.
- 在不同中心的ERAS协议统一性中存在显著差异.
- 需要进一步努力,在全国范围内标准化ERAS的实施,以改善患者护理.
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