Nakajima Tomohiro, Shibata Tsuyoshi, Mukawa Kei, Nakanishi Keitaro, Mizuno Takakimi, Arihara Ayaka, Miura Shuhei, Nakazawa Junji, Iba Yutaka, Kawaharada Nobuyoshi
Cardiovascular Surgery, Sapporo Medical University, Sapporo, JPN.
Cureus. 2023 Aug 21;15(8):e43833. doi: 10.7759/cureus.43833. eCollection 2023 Aug.
The purpose of this study is to evaluate the results of vascular surgery performed at our hospital, a tertiary emergency general hospital, in patients undergoing surgery in other departments. The results of the study were reviewed.
The study included cases in which cardiovascular surgery was performed at the request of other departments over a 15-year period from January 2006 to October 2022. Patient backgrounds, departments that requested surgery, surgical procedures, use of extracorporeal circulation, and surgical techniques were reviewed. Patients with femoral artery exposure or ECMO removal during transcatheter aortic valve implantation (TAVI) requested by cardiology were excluded.
There were 58 vascular surgery cases requested by other departments during the study period. The age was 63±14 years, 43 (74%) were male and 15 (26%) were female. The departments of the patients were urology in 29 (50%), gastroenterology in 18 (31%), orthopedics in seven (12%), emergency department in three (5%), and obstetrics and gynecology in one (2%). The following surgical procedures were performed: tumor resection and reconstruction due to tumor invasion of the inferior vena cava in 27 cases (47%), bypass to secure intraperitoneal arterial blood flow in 15 cases (26%), bypass during resection of the femoral tumor in four cases (7%), hemostasis due to trauma in three cases (5%), intraperitoneal hemostasis in three cases (5%), thrombectomy in two cases (3%), and others in four cases (7%). Extracorporeal circulation was used in six (10%) of the patients.
A 15-year case study of vascular surgery supports operations requested by other departments at our hospital. All reconstructed sites were open at the time of discharge.
本研究旨在评估在我们这家三级急诊综合医院，为其他科室接受手术的患者实施血管手术的结果。对研究结果进行了回顾。
该研究纳入了2006年1月至2022年10月这15年间应其他科室要求进行心血管手术的病例。对患者背景、请求手术的科室、手术操作、体外循环的使用以及手术技术进行了回顾。排除了心脏病学要求的经导管主动脉瓣置换术（TAVI）期间进行股动脉暴露或体外膜肺氧合（ECMO）移除的患者。
研究期间有58例其他科室请求的血管手术病例。年龄为63±14岁，男性43例（74%），女性15例（26%）。患者科室分布为泌尿外科29例（50%）、胃肠病科18例（31%）、骨科7例（12%）、急诊科3例（5%）、妇产科1例（2%）。实施了以下手术操作：因肿瘤侵犯下腔静脉进行肿瘤切除和重建27例（47%）、为确保腹腔内动脉血流进行搭桥15例（26%）、股部肿瘤切除期间进行搭桥4例（7%）、创伤止血3例（5%）、腹腔内止血3例（5%）、血栓切除术2例（3%）、其他4例（7%）。6例（10%）患者使用了体外循环。
一项为期15年的血管手术病例研究支持了我院其他科室请求的手术。所有重建部位在出院时均开放。
