静脉切开关闭时间是否会影响术后发病率?
Maxwell D Mirande1, Katherine A Bews2, Justin T Brady3
1Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA.
概括
在12周内早期关闭转向环结节切除术 (DLI) 是安全的. 这项研究发现,与选择的患者晚期关闭相比,早期DLI逆转的术后发病率没有显著增加.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 结肠直肠手术 结肠直肠手术
背景情况:
- 转向循环静脉切除术 (DLI) 逆转通常在12周或更晚时进行.
- 早期关闭旨在减少与DLI相关的发病率.
- 在DLI逆转后,时间对术后结果的影响需要进一步调查.
研究的目的:
- 为了确定是否对静脉静脉瘤逆转的时间会影响DLI关闭后的术后发病率.
- 评估早期DLI逆转的安全性和有效性.
主要方法:
- 对美国外科医生学院国家外科质量改善计划数据 (2012-2021) 的回顾性审查.
- 对接受DLI关闭的成年患者的分析,分层按时间逆转:≤12周,12-24周和24-36周.
- 主要结局:DLI关闭后的主要发病率.
主要成果:
- 482名患者接受了DLI关闭;17.4%被关闭≤12周.
- 关闭时间组之间没有观察到主要发病率,并发症严重程度,解口漏水或需要腹腔切除的显著差异.
- 免疫抑制疗法和手术前低血红素 (<30%) 被确定为主要发病率的危险因素.
结论:
- 无论DLI关闭的时间,主要的发病率都是可比的.
- 关闭DLI在≤12周是一个安全的选择,为精心挑选的患者.
- 进一步的研究可能会探索早期静脉口腔逆转的特定患者选择标准.
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