外科医生对手术后增强康复的看法 逆皮质肉瘤:一项调查
Luca Improta1, Chiara Maura Ciniselli2, Paolo Verderio2
1Soft Tissue Sarcoma Surgery, Fondazione Policlinico Universitario Campus Bio-medico, Rome 00128, Italy. luca.dr.improta@gmail.com.
World journal of clinical oncology
|November 3, 2025
概括
开发手术后增强恢复 (ERAS) 程序用于逆皮质肉瘤 (RPS) 手术面临挑战. 关于RPS ERAS协议关键要素的外科医生协议仍然很低,这表明需要进一步合作.
科学领域:
- 手术瘤学手术瘤学
- 在外科手术后的护理.
- 临床途径发展发展
背景情况:
- 手术后增强恢复 (ERAS) 计划优化了手术患者的管理.
- 目前还没有为逆皮质肉瘤 (RPS) 手术建立一个量身定制的ERAS程序.
- 优化RPS患者的术后护理可以改善结果.
研究的目的:
- 确定如何根据RPS手术量身定制的ERAS计划可以达成协议,结构化和实施.
- 评估RPS手术现有的ERAS项目可行性和相关性.
- 为 RPS ERAS 项目建立一个基于共识的协议.
主要方法:
- 文献审查和专家的意见确定了25个候选ERAS项目用于RPS手术.
- 使用了调查问卷,通过认知面试和试点测试来改进.
- 专家瘤外科医生评价了项目相关性和可行性;调查在一年后重新流通.
主要成果:
- 来自6个中心的13名肉瘤外科医生参与了调查.
- 对于RPS的ERAS项目,整体外科医生一致性很低,观察者内部可重复性也很低.
- 与参考的一致性在相关性方面增加,但在调查再循环后可行性方面下降.
结论:
- 尽管有兴趣,但外科医生对ERAS项目相关性和RPS可行性的一致性仍然很低.
- 需要共同努力来开发一个标准化的,基于共识的ERAS协议,用于RPS.
- 需要进行进一步的研究,以建立有效的ERAS途径,用于逆皮质肉瘤手术.
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