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小动物肿瘤手术中的手套及器械操作:一项调查

Glove and instrument handling in small animal oncological surgeries: a survey.

作者信息

Orjefelt E, MacKay J R D, Bowlt Blacklock K L

机构信息

Royal (Dick) School of Veterinary Studies, Edinburgh, UK.

出版信息

J Small Anim Pract. 2025 Jul;66(7):477-483. doi: 10.1111/jsap.13852. Epub 2025 Mar 18.

DOI:10.1111/jsap.13852
PMID:40101299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12232354/
Abstract

OBJECTIVES

To evaluate veterinary surgeons' awareness of the potential for surgical gloves and instruments to act as vectors for tumour seeding in small animal oncological surgery and to assess the use of specific protocols to mitigate this risk.

MATERIALS AND METHODS

A 21-question survey was developed and distributed to small animal veterinary surgeons, focusing on practices related to glove and instrument handling during oncological surgeries. The survey targeted veterinary surgeons who regularly performed oncological procedures, and was analysed using descriptive statistics and Pearson's chi-square analysis.

RESULTS

A total of 194 veterinary surgeons participated. Most respondents (89%) reported changing gloves and instruments during oncological surgeries to avoid tumour seeding. Surgeons with advanced qualifications and those working in referral hospitals were more likely to implement these practices. Additionally, surgeons with a higher oncological caseload were more likely to follow protocols for wound protection. The majority (74%) of respondents believed that there was a risk of neoplastic cells on gloves or instruments, and 98% expressed a strong interest in evidence-based guidelines.

CLINICAL SIGNIFICANCE

This study highlights a significant awareness among veterinary surgeons regarding the risk of tumour seeding through surgical gloves and instruments. There is a clear willingness among practitioners to adopt new guidelines and improve practices based on emerging evidence, indicating a potential shift towards more stringent protocols in small animal oncological surgeries.

摘要

目的

评估兽医外科医生对手术手套和器械在小动物肿瘤外科手术中作为肿瘤播散载体可能性的认识,并评估使用特定方案以降低这种风险的情况。

材料与方法

设计了一份包含21个问题的调查问卷,并分发给小动物兽医外科医生,重点关注肿瘤手术期间手套和器械处理的相关操作。该调查针对经常进行肿瘤手术的兽医外科医生,并使用描述性统计和Pearson卡方分析进行分析。

结果

共有194名兽医外科医生参与。大多数受访者(89%)报告在肿瘤手术期间更换手套和器械以避免肿瘤播散。具有高级资质的外科医生以及在转诊医院工作的外科医生更有可能实施这些操作。此外,肿瘤病例量较高的外科医生更有可能遵循伤口保护方案。大多数受访者(74%)认为手套或器械上存在肿瘤细胞的风险,98%的受访者对循证指南表现出浓厚兴趣。

临床意义

本研究突出了兽医外科医生对手术手套和器械导致肿瘤播散风险的显著认识。从业者明显愿意采用新指南并根据新出现的证据改进操作,这表明在小动物肿瘤外科手术中可能会转向更严格的方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b435/12232354/a5825e198c47/JSAP-66-477-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b435/12232354/518e7cf736ad/JSAP-66-477-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b435/12232354/ed2700f4916a/JSAP-66-477-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b435/12232354/a5825e198c47/JSAP-66-477-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b435/12232354/518e7cf736ad/JSAP-66-477-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b435/12232354/ed2700f4916a/JSAP-66-477-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b435/12232354/a5825e198c47/JSAP-66-477-g002.jpg

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Potential Seeding From Fine-Needle Aspiration of an Axial Osteosarcoma: A Case Report.轴向骨肉瘤细针穿刺活检可能导致种植转移:一例报告
Front Vet Sci. 2022 Apr 29;9:847933. doi: 10.3389/fvets.2022.847933. eCollection 2022.
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Surgeons' perspectives on operating room waste: Multicenter survey.外科医生对手术室废物的看法:多中心调查。
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Cutaneous seeding of transitional cell carcinoma of the urinary bladder after placement of a subcutaneous ureteral bypass device in a dog with bilateral ureteral obstruction.
犬双侧输尿管梗阻行皮下输尿管旁路装置置入后,发生移行细胞膀胱癌皮肤种植。
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Cytopathologic assessment of gloves and instruments after major head and neck surgery.主要头颈部手术后手套和器械的细胞病理学评估。
Am J Otolaryngol. 2021 May-Jun;42(3):102876. doi: 10.1016/j.amjoto.2020.102876. Epub 2021 Jan 6.
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Cell adhesion in cancer: Beyond the migration of single cells.癌细胞黏附:超越单细胞迁移。
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Glove and instrument changing to prevent tumour seeding in cancer surgery: a survey of surgeons' beliefs and practices.癌症手术中更换手套和器械以防止肿瘤播散:外科医生的信念与实践调查
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