Ali Dalil, Juergens Claudius, Unnewehr Markus, Schmeding Maximilian
Department of Surgery, Klinikum Dortmund, Beurhausstrasse 40, 44137, Dortmund, Germany.
Faculty of Medicine, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Germany.
Langenbecks Arch Surg. 2025 May 29;410(1):169. doi: 10.1007/s00423-025-03726-4.
Routine blood sample analysis is performed in most surgical institutions after general surgery on the first postoperative day. Substantial economical impact is thereby generated in addition to patient distress caused by venous puncture.
The presented study was designed to analyse the relevance of postoperative routine blood sampling with special focus on patient safety.
1198 patients undergoing minor general surgical procedures (appendectomy, cholecystectomy, groin hernia repair) at our institution were retrospectively analysed. Data was gathered and forwarded to statistical evaluation with respect to patient safety and economical impact / cost-saving potential.
In 5,3% of our patients there was clinical impact of postoperative blood sampling. Relevant medical treatment consequences were derived for complicated appendectomy cases only.
Our data suggests that routine postoperative blood sample analysis after minor general surgery has very little impact on the further clinical course. Patient safety is not at risk. Regarding the economical and distressing impacts of routine blood-drawing post-operatively it should be evaluated if routine sampling may be limited to special interest cases.
大多数外科机构在普通外科手术后的第一天会进行常规血液样本分析。这不仅会给患者带来静脉穿刺的痛苦，还会产生巨大的经济影响。
本研究旨在分析术后常规采血的相关性，特别关注患者安全。
对我院1198例接受小型普通外科手术（阑尾切除术、胆囊切除术、腹股沟疝修补术）的患者进行回顾性分析。收集数据并就患者安全和经济影响/成本节约潜力进行统计评估。
在我们的患者中，5.3%的患者术后采血有临床影响。仅复杂阑尾切除病例产生了相关的医疗治疗后果。
我们的数据表明，小型普通外科手术后的常规术后血液样本分析对进一步的临床病程影响很小。患者安全没有风险。考虑到术后常规采血的经济和痛苦影响，应评估是否可将常规采样限于特殊情况。
