瘤关骨外科手术的结果和危险因素:一个特定于头部和部的NSQIP分析
Bailey H Duhon1,2, Xiaowen Sun3, Mike Hernandez3
1Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
概括
先进的骨和腺癌手术,包括侧面骨切除 (LTBR) 和乳腺切除术,往往导致贫血和面部等并发症. 患者的年龄,瘤阶段和手术时间是这些结果的关键风险因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 头部和部手术 头部和部手术
背景情况:
- 骨和腺的晚期恶性瘤带来了重大管理挑战.
- 瘤骨手术后的并发症尚未被系统地分类.
- 了解术后结果对于管理这些罕见但复杂的病例至关重要.
研究的目的:
- 详细介绍侧側骨切除 (LTBR) 和乳腺切除术在耳部瘤患者的术后结果.
- 确定与这些手术后并发症相关的术前风险因素.
主要方法:
- 在高等学术中心进行的回顾性队列研究.
- 包括患有骨或腺恶性瘤的患者,接受LTBR或乳腺切除术.
- 从特定的头部 (HNS) NSQIP数据库中提取了人口统计,临床和30天的术后数据.
主要成果:
- 174名患者接受了LTBR (n=121) 或乳腺切除术 (n=53);98%的患者进行了重建,主要是自由片.
- 需要输血的贫血是最常见的并发症 (32.2%的LTBR与15.1%的乳腺切除术).
- 增加年龄,较高的瘤阶段 (T3/T4) 和较长的手术时间 (>13小时) 是并发症的重要风险因素.
结论:
- 晚期肺切除术和乳腺切除术与显著的贫血率,新发性面部和长时间住院有关.
- 风险评估和缓解策略应考虑患者的年龄,瘤阶段和手术持续时间.
- 这些发现有助于进行手术前规划和为耳瘤外科手术提供患者咨询.
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