在正在发展的胸部外科单位的食道切除中,教科书的结果
Vishnu Santosh Menon1, Rigved Nittala1, Amita Sekhar Padhy1
1Department of Surgical Oncology, Homi Bhabha Cancer Hospital & Research Centre, Visakhapatnam, 530053 Andhra Pradesh India.
Indian journal of thoracic and cardiovascular surgery
|February 12, 2026
概括
在食道癌切除方面,教科书结局 (TO) 在印度三分之一的患者中实现,与全球率相比. 最佳的淋巴结产量仍然是一个挑战,强调需要在质量评估中适应特定环境的需求.
科学领域:
- 改善外科手术的质量
- 胃肠道瘤学 胃肠道瘤学
- 胸部外科手术 胸部外科手术
背景情况:
- 教科书结果 (TO) 是一种复合度量,用于手术质量评估.
- 在食道切除中评估TO对于改善患者护理至关重要.
- 在资源有限的环境中,TO的适用性需要研究.
研究的目的:
- 为了评估教科书结果 (TO) 在印度的低体积胸部外科病房的食道切除.
- 评估TO在资源有限的医疗保健环境中的适用性.
- 确定食道癌的手术质量的挑战和改善领域.
主要方法:
- 对41名食道癌患者进行治疗切除的回顾性研究 (2020-2024年).
- 从前性维护的外科手术数据库和电子医疗记录中收集的数据.
- 根据2017年荷兰上肠道癌症审计标准 (10个参数) 定义TO.
主要成果:
- 在14名患者 (34.1%) 中实现了教科书结局 (TO).
- 大型外科手术周病率 (Clavien-Dindo等级≥II) 在17.1%的患者中发生;4.8%的外科手术周死亡.
- 最佳淋巴结产量 (≥15个淋巴结) 是最具挑战性的参数 (61%).
结论:
- 在印度大约三分之一的食道切除中,可以实现教科书结果 (TO),与国际基准保持一致.
- 在这种情况下,最佳的淋巴结产量是一个重大挑战.
- TO作为一种有价值的质量保证工具,但为了在印度提高相关性,需要适应特定的上下文.
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