Division of Colorectal Surgery, Keck School of Medicine, University of Southern California, 1441 Eastlake Avenue, Suite 7418, Los Angeles, CA 90033, USA.
Am J Surg. 2013 Mar;205(3):333-7; discussion 337-8. doi: 10.1016/j.amjsurg.2012.10.014. Epub 2013 Jan 28.
It is unclear whether advances in the medical management of ulcerative colitis (UC) have altered outcomes for medically intractable disease. Therefore, it is essential to understand the current impact of elective versus emergency surgery for UC.
The American College of Surgeons National Surgical Quality Improvement Program database was used to compare outcomes for elective versus emergency UC surgery between 2005 and 2010.
Four thousand nine hundred sixty-two patients were eligible for study (94% elective and 6% emergent). Emergency surgery patients were significantly older and frequently underwent open surgery. Emergency cases were associated with a higher frequency of cardiac, pulmonary, and renal comorbidities; postoperative complications; longer hospital stays; and higher rates of return to the operating room.
In the era of advanced UC medical therapy, the need for emergency surgery still exists and is associated with substantial morbidity and mortality. Data are needed to determine if earlier selection of surgery would be beneficial.
溃疡性结肠炎（UC）的医学治疗进展是否改变了难治性疾病的结局尚不清楚。因此，了解 UC 择期手术与急诊手术的当前影响至关重要。
使用美国外科医师学会国家手术质量改进计划数据库比较 2005 年至 2010 年间溃疡性结肠炎择期与急诊手术的结果。
4962 名患者符合研究条件（94%为择期手术，6%为急诊手术）。急诊手术患者年龄明显较大，且常行开放性手术。急诊病例与更高的心脏、肺部和肾脏合并症、术后并发症、更长的住院时间以及更高的再次手术率相关。
在先进的 UC 医学治疗时代，仍需要进行急诊手术，且与较高的发病率和死亡率相关。需要数据来确定是否更早选择手术会更有益。
Zotero 插件