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在儿科 laparoscopic pyloromyotomy 术后同一天出院的趋势和结果

John M Woodward¹, Michael LaRock², Stephanie F Brierley³

¹Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York; Division of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York; John R. Oishei Childrens Hospital, Kaleida Health, Buffalo, New York.

The Journal of surgical research

|July 16, 2025

概括

laparoscopic pyloromyotomy 术后的同一天排泄对于特定的婴儿是可行的. 虽然它可能会稍微增加因吐的早期再入院,但整体并发症仍然很低,这使得它对于精心挑选的患者来说是一个合理的选择.

科学领域:

儿科手术儿科手术
外科手术的结果
胃肠道手术胃肠道手术

背景情况:

在手术后增强恢复 (ERAS) 协议已建立为儿科pyloromyotomy.
对于该程序的当日放电 (SDD) 结果,存在有限的数据.

研究的目的:

为了评估婴儿腹腔镜胆髓瘤切除术后同日出院 (SDD) 的结果.
为了比较SDD的结果与传统的1-2日术后出院.

主要方法:

利用了美国外科医生学院国家外科质量改进计划儿科数据库 (2017-2021).
包括患有胆道狭窄症的患者进行腹腔镜胆道缩小术,不包括早产婴儿,特定年龄范围以外的婴儿和开放手术.
使用回归分析,比较同一天出院 (SDD) 和1-2天出院 (非SDD) 队列之间的结果.

主要成果:

在5851名患者中,6.3%的患者在同一天出院 (SDD).
SDD患者的手术时间较短,但由于吐而重新入院的比例较高 (1.1%与0.2%相比).
在整体2天的再入院或其他并发症中没有发现显著差异;然而,更高的美国麻醉学会 (ASA) 课程增加了30天的再入院几率.

结论:

同一天排泄 (SDD) 不适合所有腹腔镜胆髓瘤手术患者.
对于那些能耐受食并具有较低ASA等级的婴儿来说,SDD可以是一个安全的选择.
虽然SDD可能会导致早期吐相关的再入院率略有增加,但整体并发症仍然很低.

关键词:

埃拉斯 (Eras) 是一个国际组织.laparoscopic pyloromyotomy 拉巴洛斯科普式的脊柱骨髓修复术这是一个非常简单的方法.这是NSQIP.过夜停留在一个地方.儿科外科手术儿科外科手术皮洛里克狭窄症 (英语:Pyloric stenosis) 是一种皮洛里克狭窄症.同一天的放电.

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