中低收入国家一家三甲医院头颈癌游离皮瓣手术中术中输液的影响和并发症。

IF 1.2 Q3 SURGERY

Journal of perioperative practice Pub Date : 2024-04-18 DOI:10.1177/17504589241232507

W. Ghaffar, Faisal Shamim, Mujtaba Khalil, M. B. Abdul Ghaffar, Tahir Munir

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引用次数: 0

摘要

围手术期输液在头颈癌游离皮瓣手术中起着至关重要的作用。术中输液对头颈癌游离皮瓣手术术后并发症的影响仍不明确。研究纳入了2014年1月至2018年12月期间接受头颈癌游离皮瓣手术的所有成年患者。共有 224 名患者符合纳入标准。患者的平均年龄为45.0岁，大多数为男性（85.7%）。口腔粘膜鳞状细胞癌（83%）是最常见的诊断，大腿前外侧皮瓣（46.4%）是最常规的手术。围手术期使用最多的是乳酸林格氏液（68.3%）。术后共报告了101例并发症，包括67例内科并发症和34例外科并发症。总之，输液量与术后并发症之间没有明显的统计学关联。

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Impact of intraoperative fluid administration and complications in head and neck cancer free flap surgery at a tertiary care hospital of a low and middle-income country.

Perioperative fluid administration plays an essential role in head and neck cancer free flap surgery. The impact of intraoperative fluid administration on postoperative complications in head and neck cancer free flap surgery remains ill-defined. All adult patients who underwent a free flap surgery for head and neck cancer between January 2014 and December 2018 were included in the study. A total of 224 patients met the inclusion criteria. The mean age of patients was 45.0 years, and the majority were male (85.7%). Buccal mucosa squamous cell carcinoma (83%) was the most common diagnosis, and anterolateral thigh flap (46.4%) was the most routinely performed procedure. Perioperatively, ringer's lactate was used most abundantly (68.3%). A total of 101 complications were reported in the postoperative period, consisting of 67 medical complications and 34 surgical complications. In conclusion, there is no statistically significant association between the quantity of fluid administration and postoperative complications.

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来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.