• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Journal of Clinical Medicine >Independent Predicting Factors for Subcutaneous Emphysema Associated with Robotic-Assisted Laparoscopic Radical Prostatectomy: A Retrospective Single-Center Study
【2h】

Independent Predicting Factors for Subcutaneous Emphysema Associated with Robotic-Assisted Laparoscopic Radical Prostatectomy: A Retrospective Single-Center Study

机译：与机器人辅助腹腔镜激进前列腺切除术相关的皮下肺气肿的独立预测因素：回顾性单中心研究

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: Subcutaneous emphysema (SCE) is a complication associated with laparoscopic surgery. Severe SCE complicated by excessive hypercarbia may afford detrimental effects in surgical patients with cardiac dysfunction. Robotic-assisted laparoscopic radical prostatectomy (RALP) has several predisposing factors that contribute to SCE. The main purpose of our single-center retrospective study was to determine the preoperative and intraoperative predicting factors for SCE associated with RALP and to determine the actual incidence of SCE. Methods: In total, 229 adult male patients underwent standardized RALP for prostate cancer over the period of 1 May 2016 to 31 October 2018 at the Ehime University Hospital. We reviewed electronic clinical records for individual characteristics including age, body weight, height, coexisting disorders, preoperative ASA physical status, and the length of postoperative hospital stay. We also reviewed surgical and anesthetic records for the operation time, anesthetic method, and the partial pressure of end-tidal CO2 (PetCO2) during RALP. To determine the presence of SCE, we examined supine chest X-rays obtained after the completion of surgery. Results: We found 55 cases (24.0%) of SCE. Multiple logistic regression analysis showed that a BMI < 25 kg/m2 (OR: 3.0, 95% CI: 1.25–7.26) and a maximum value of PetCO2 of 46 mmHg or greater (OR: 23.3, 95% CI: 8.22–66.1) were independent predicting factors for SCE. Conclusion: These two predicting factors may be helpful to recognize the occurrence of SCE. Anesthesiologists should protect against SCE progression with the earlier detection of SCE for safe anesthetic management in patients undergoing RALP.
机译：目的：皮下肺气肿（SCE）是与腹腔镜手术相关的并发症。过度高疾病的严重SCE复杂可负担心脏功能障碍的手术患者的不利影响。机器人辅助的腹腔镜自由基前列腺切除术（RALP）有几个易受促进对SCE的因素。我们的单中心回顾性研究的主要目的是确定与RALP相关的SCE的术前和术中预测因素，并确定SCE的实际发生率。方法：在2016年5月1日至2018年5月1日，229例成年男性患者接受了标准化RALP，2016年5月1日至10月31日在艾吉大学医院。我们审查了各个特征的电子临床记录，包括年龄，体重，高度，共存障碍，术前ASA身体状况以及术后住院住院的长度。我们还在RALP期间审查了用于操作时间，麻醉方法和终端二氧化碳（Petco2）的分压的手术和麻醉记录。为了确定SCE的存在，我们检查了手术完成后获得的仰卧胸部X射线。结果：我们发现55例（24.0％）的SCE。多元逻辑回归分析显示BMI <25kg / m2（或：3.0,95％CI：1.25-7.26）和46mmHg或更大的最大值（或：23.3,95％CI：8.22-66.1）是SCE的独立预测因素。结论：这两个预测因素可能有助于认识到SCE的发生。麻醉师应通过早期检测RALP患者的安全麻醉管理，防止SCE进展。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号