在腹部,腹腔镜和机器人手术中的尿路损伤:全面的审查
Spyridon Polykalas1, Athanasia Chronopoulou1, Maria-Sotiria Bompoula2
1Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Maedica
|August 29, 2025
概括
在腹部,腹腔镜和机器人手术中存在尿路损伤 (UTI) 的风险. 至少侵入性的方法可以降低尿路感染率, 但谨慎的规划和先进的技术是预防的关键.
科学领域:
- 尿道病学
- 外科瘤学
- 最少的入侵性手术
背景情况:
- 尿路损伤是腹部,腹腔镜和机器人手术的重要并发症.
- 结直肠手术,子宫切除术和前列腺切除术等手术具有固有的风险,
- 至少侵入性技术带来了独特的挑战和好处.
研究的目的:
- 审查不同手术方法中尿道感染的发病率,风险因素和管理策略.
- 在开放式,腹腔镜和机器人手术中比较尿路感染率.
- 确定影响尿路感染发展和预防的关键因素.
主要方法:
- 对PubMed,Embase和Web of Science数据库进行系统审查.
- 包括关于腹部,妇科和泌尿外科手术报告的研究.
- 使用PRISMA方法在1990年至2024年间发表的17项研究的分析.
主要成果:
- 根据手术方法,尿路感染的发生率有所不同:开放式手术 (0. 5% - 3.0%),腹腔镜手术 (0. 1% - 1.0%) 和机器人手术 (0. 2% - 1. 5%).
- 在开放式手术中,结直肠手术和子宫切除术的发生率更高.
- 机器人手术在前列腺切除和子宫切除等复杂手术中降低了尿路感染风险.
结论:
- 主要的尿路感染原因包括直接的创伤,热损伤和缺血.
- 为了减轻风险,先进的技术和外科医生的专业知识至关重要.
- 综合预防需要精心计划,使用手术期间的技术和术后的护理.
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