术前状态对根治性切除术和骨盆重建术后短期结局的影响。
The Impact of the Preoperative Status on the Short-term Outcomes After Exenteration and Pelvic Reconstruction.
机构信息
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
"I. Cantacuzino" Clinical Hospital, Bucharest, Romania.
出版信息
In Vivo. 2019 Nov-Dec;33(6):2147-2152. doi: 10.21873/invivo.11716.
Abstract
BACKGROUND/AIM: The aim of this study was to analyse the influence of the preoperative status on the perioperative outcomes of patients submitted to pelvic reconstructions after exenteration.
MATERIALS AND METHODS
Between January 2017 and December 2018, pelvic exenteration was performed in 86 cases; patients were classified according to their age, nutritional status and association of reconstructive surgery.
RESULTS
The median age was 56 years, while the median level of serum albumin was 3.6 g/dl. Reconstructive surgery was more frequently performed in younger patients, while the rate of postoperative complications was similar between the two groups, while the rate of postoperative complications was significantly higher among cases with lower serum albumin levels.
CONCLUSION
Reconstructive surgery should be performed in selected patients. Elderly cases as well as those presenting a poorer nutritional status are at higher risk of developing postoperative complications.
摘要
背景/目的：本研究旨在分析接受盆腔廓清术后行盆腔重建患者术前状态对围手术期结局的影响。
材料和方法
2017 年 1 月至 2018 年 12 月，86 例行盆腔廓清术，根据患者年龄、营养状况和重建手术的相关性进行分类。
结果
中位年龄为 56 岁，血清白蛋白中位数为 3.6 g/dl。年轻患者更常进行重建手术，而两组术后并发症发生率相似，但血清白蛋白水平较低的患者术后并发症发生率明显更高。
结论
应选择性地对患者进行重建手术。老年患者以及营养状况较差的患者发生术后并发症的风险更高。
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