确定乳腺癌幸存者淋巴静脉搭桥手术后蜂窝织炎的潜在相关因素。

IF 2.2 3区 医学 Q2 SURGERY
Ricardo A Torres-Guzman, Francisco R Avila, Karla Maita, John P Garcia, Abdullah S Eldaly, Gioacchino D De Sario, Sahar Borna, Cesar A Gomez-Cabello, Sophia M Pressman, Syed Ali Haider, Olivia A Ho, Antonio Jorge Forte
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引用次数: 0

摘要

背景:乳腺癌是最常见的癌症类型之一,2020 年确诊病例约为 230 万。五分之一的癌症患者会因多种诱因和治疗相关因素而出现慢性淋巴水肿。这可能导致肿胀、皮肤感染和肢体功能障碍,对患者的生活质量造成负面影响。这项回顾性队列研究旨在确定在佛罗里达州梅奥诊所接受淋巴管旁路手术(LVB)的乳腺癌幸存者的人口统计学特征和乳腺癌特征与术后蜂窝织炎之间的关联:我们进行了一项回顾性病历审查。方法:我们进行了回顾性病历审查,回顾性收集了 2016 年至 2022 年期间的数据。根据特定的纳入和排除标准,60 名接受过 LVB 的成年乳腺癌幸存者被纳入最终分析。不符合纳入标准或随访数据不完整的患者被排除在外。提取的人口统计学和手术数据包括体重指数(BMI)、吻合类型、吻合次数和术前蜂窝组织炎状况。淋巴水肿的测量采用胶带测量法。采用费雪精确检验来确定变量与术后蜂窝织炎之间是否存在统计学意义上的关联:结果:术后蜂窝织炎更常见于 60 至 69 岁(43.2%)、白人(75.0%)、超重或肥胖(90.9%)、吻合口数为 1 至 4 个(81.8%)和不吸烟(79.5%)的患者。国际淋巴学会(ISL)术后蜂窝织炎和无术后蜂窝织炎的平均标准为 1.93。吻合次数(p = 0.021)、吸烟状况(p = 0.049)、术前蜂窝织炎(p = 0.04)和淋巴水肿诊断年限变量(p = 0.004)与术后蜂窝织炎有统计学意义:我们的研究结果表明,吻合次数越多、吸烟、术前蜂窝织炎和淋巴水肿年限与术后蜂窝织炎的风险增加有显著相关性。意识到这些风险因素对于术后感染的监测和早期治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identification of Potential Factors Associated with Cellulitis Following Lymphovenous Bypass Surgery in Breast Cancer Survivors.

Background:  Breast cancer is one of the most common types of cancer, with around 2.3 million cases diagnosed in 2020. One in five cancer patients develops chronic lymphedema caused by multifactorial triggers and treatment-related factors. This can lead to swelling, skin infections, and limb dysfunction, negatively affecting the patient's quality of life. This retrospective cohort study aimed to determine the associations between demographic and breast cancer characteristics and postoperative cellulitis in breast cancer survivors who underwent lymphovenous bypass surgery (LVB) at Mayo Clinic, Florida.

Methods:  We performed a retrospective chart review. Data were collected retrospectively from 2016 to 2022. Sixty adult breast cancer survivors who underwent LVB were included in the final analysis based on specific inclusion and exclusion criteria. Patients were excluded if they did not meet the inclusion criteria or had incomplete follow-up data. Demographic and surgical data were extracted, including body mass index (BMI), type of anastomosis, number of anastomoses, and preoperative cellulitis status. Lymphedema measurements were performed using tape measurements. Fisher's exact test was used to determine statistically significant associations between variables and postoperative cellulitis.

Results:  Postoperative cellulitis was more common in patients aged 60 to 69 years (43.2%), whites (75.0%), overweight or obese (90.9%), with one to four anastomoses (81.8%), and nonsmokers (79.5%). The mean International Society of Lymphology (ISL) criteria for both postoperative cellulitis and no postoperative cellulitis was 1.93. Statistically significant associations with postoperative cellulitis were found for the number of anastomoses (p = 0.021), smoking status (p = 0.049), preoperative cellulitis (p = 0.04), and the length of years with lymphedema diagnosis variable (p = 0.004).

Conclusion:  Our results suggest that a greater number of anastomoses, smoking, preoperative cellulitis, and years with lymphedema are significantly associated with an increased risk of postoperative cellulitis. Awareness of these risk factors is crucial for monitoring and early treatment of infections following surgery.

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来源期刊
CiteScore
4.50
自引率
28.60%
发文量
80
审稿时长
1 months
期刊介绍: The Journal of Reconstructive Microsurgery is a peer-reviewed, indexed journal that provides an international forum for the publication of articles focusing on reconstructive microsurgery and complex reconstructive surgery. The journal was originally established in 1984 for the microsurgical community to publish and share academic papers. The Journal of Reconstructive Microsurgery provides the latest in original research spanning basic laboratory, translational, and clinical investigations. Review papers cover current topics in complex reconstruction and microsurgery. In addition, special sections discuss new technologies, innovations, materials, and significant problem cases. The journal welcomes controversial topics, editorial comments, book reviews, and letters to the Editor, in order to complete the balanced spectrum of information available in the Journal of Reconstructive Microsurgery. All articles undergo stringent peer review by international experts in the specialty.
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