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与年轻患者相比,老年患者的紧急胆囊切除术的教科书结果是否有差异?

Yasir Musa Kesgin^1,2, Ahmet Zahit Kaan³, Metehan Arslan³

¹Department of General Surgery, Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye. yasir.kesg@gmail.com.

World journal of emergency surgery : WJES

|July 28, 2025

概括

老年患者在紧急胆囊切除术后的教科书结局率较低. 虽然年龄不是回归的重要因素,但更长的住院时间和并发症影响了结果,突出了风险分层的必要性.

科学领域:

手术成果研究的研究结果.
紧急手术中的患者安全

背景情况:

教科书结局 (TO) 是一个无事件的手术过程的衡量标准,最初用于结直肠手术,现在广泛应用.
本研究将TO概念应用于紧急胆囊切除术,调查与年龄相关的差异.

研究的目的:

确定年龄较大是否影响紧急胆囊切除术患者的教科书结局率.
在这个患者群体中确定导致与教科书结果差异的因素.

主要方法:

对212名接受紧急胆囊切除术 (2020-2024) 的患者进行了回顾性研究.
定义的TO标准:没有30天死亡率/并发症/再入院,住院时间≤7天,完全腹腔镜手术.
与65岁以下 (A组) 和65岁以上 (B组) 患者的结局进行比较.

主要成果:

年轻患者的教科书结局率为88%,老年患者为72% (p=0.040).
多变量分析没有确定年龄是TO的重要预测因素.
长时间住院 (>7天) 和术后并发症是无法实现TO的主要原因.

结论:

与年轻患者相比,老年患者的教科书结局率明显较低.
手术和非手术因素有助于不理想的结果,强调在急性胆囊炎管理中需要风险分层.
需要对更大,以患者为中心的数据进行进一步的研究,以完善教科书结果概念.

关键词:

急性胆囊炎是什么情况紧急外科手术紧急外科手术教科书的结果教科书的结果

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