在有肝衰竭和没有肝衰竭的患者中比较腹腔修复结果
Aldo Fafaj1, Daphne Remulla1, Kimberly Woo1
1Center for Abdominal Core Health, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH.
Journal of the American College of Surgeons
|August 14, 2025
概括
选择性腹腔修复对于肝功能不良的患者来说是安全的. 结果与没有肝病的人相似,这表明它可以安全地提供给那些有症状的人.
科学领域:
- 腹部外科手术 腹部外科手术
- 肝病学 肝病学是一种肝病学.
- 外科手术的结果
背景情况:
- 腹腔在肝功能不良的患者中很常见.
- 这些患者的选择性手术会增加外科手术期间的风险.
- 结果的比较对于明智的外科决定至关重要.
研究的目的:
- 为了比较选择性腹腔修复在肝功能不良和没有肝功能不良的患者的结果.
- 评估手术修复在肝功能不全患者的安全性和有效性.
主要方法:
- 使用腹部核心健康质量协作数据库进行回顾性队列研究.
- 包括接受选择性腹腔修复的患者 (2014年1月至2023年12月),随访30天.
- 倾向性得分匹配用于比较肝功能不良和没有肝功能不良的患者 (3:1比).
主要成果:
- 在匹配后,分析了279名肝衰竭患者和837名对照组.
- 在30天后,在重新手术,复发或手术部位感染方面没有显著差异.
- 肝衰竭组的再入院率更高,住院时间更长.
结论:
- 肝功能不全患者的选择性腹腔修复显示了类似的术后风险概况.
- 患有肝功能衰竭和症状腹的患者可以安全地接受选择性修复.
- 这支持提供手术干预以改善这一患者群体的生活质量.
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