在军事治疗设施的同日出院袖子胃切除术:协议和初步结果
Hannah Palmerton1, Grace Pak1, Bobby Zhang1
1Madigan Army Medical Center, Joint Base Lewis-McChord, Tacoma, Washington.
The Journal of surgical research
|August 9, 2025
概括
同一天的腹腔镜套胃切除术 (LSG) 在军事卫生系统中是安全有效的. 这种方法减少了住院患者的负担,并提高了患者的满意度,而不会增加并发症风险.
科学领域:
- 腹部外科 腹部外科
- 最少侵入性的手术
- 卫生系统研究 卫生系统研究
背景情况:
- 腹腔镜袖胃切除术 (LSG) 是最常见的减肥手术.
- 门诊LSG提供了诸如降低成本和提高患者满意度等好处.
- 军事医疗系统一直很慢地采用门诊LSG.
研究的目的:
- 在军事卫生系统中评估同一天LSG (SD-LSG) 的安全性和可行性.
- 为SD-LSG实施提出一个多学科的协议.
- 在麦迪根陆军医疗中心评估SD-LSG的初始结果.
主要方法:
- 从28名接受SD-LSG的患者收集前性数据.
- 为所有护理阶段实施多学科协议.
- 排除标准包括高BMI,延长的手术时间和显著的并发症.
主要成果:
- 在SD-LSG组中没有死亡率,重新手术或再入院.
- 一个Clavien-Dindo类2并发症 (需要输血的血瘤) 发生 (3.6%).
- 结果与国家数据和住院LSG相似,没有意外的术后入院.
结论:
- 同一天的LSG是军事卫生系统的安全和可行的选择.
- 仔细的患者选择和多学科协调对于成功至关重要.
- SD-LSG减少了住院患者的统计,并提高了患者的满意度,同时保持了安全.
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