腹主动脉球囊闭塞在骨盆和骶骨肿瘤切除术：基于专家德尔菲共识

IF 3.5 2区医学 Q2 ONCOLOGY

Ejso Pub Date : 2025-06-16 DOI:10.1016/j.ejso.2025.110251

Zhiqing Zhao , Wei Wang , Bing Wang, Yunfei Lin, Taiqiang Yan

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引用次数: 0

摘要

背景：在骨盆和骶骨肿瘤切除术中，大出血仍然是一个关键的挑战。近几十年来，腹主动脉球囊闭塞术（AABO）越来越多地用于控制术中出血。然而，在骨盆和骶骨肿瘤切除术中应用的标准化方案仍然缺乏。德尔菲共识旨在根据现有证据和专业知识为该领域的AABO建立指导方针。方法在全面查阅文献的基础上，采用三轮德尔菲法。共识被预先定义为受访者之间的一致性≥85%。来自全国19个地区的骨科、血管外科、麻醉科等43名专家参加了本次手术。结果在适应症/禁忌症、老年患者的安全性、术前准备、气囊放置位置、AABO手术方式、闭塞时间、减少AABO相关并发症的措施、急性股动脉血栓管理、术中麻醉监测指标和术后监测等11个关键变量上达成共识。结论基于专家的德尔菲共识为规范AABO应用、提高手术安全性和指导未来研究提供了一个框架。

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Abdominal aortic balloon occluding in the pelvic and sacral tumor resection: An expert-based Delphi consensus

Background

Massive bleeding remains a critical challenge during pelvic and sacral tumor resection. Over recent decades, abdominal aortic balloon occluding (AABO) has been increasingly utilized to control intraoperative bleeding. However, standardized protocols for its application in pelvic and sacral tumor resection remain lacking. This Delphi consensus aims to establish guidelines for AABO in this field based on the existing evidence and expertise.

Methods

A three-round Delphi process was conduct following a comprehensive literature review. Consensus was predefined as ≥85 % agreement among respondents. Forty-three experts from 19 regions of Chinese participated, including orthopedic surgeons, vascular surgeons, and anesthesiologists.

Results

Consensus was achieved on eleven key variables: indications/contraindications, safety in elderly patients, preoperative preparation, balloon placement position, procedures of AABO, occlusion duration, measures to reduce complications related to AABO, acute femoral thrombosis management, intraoperative anesthesia monitoring indicators, and postoperative monitoring.

Conclusions

This expert-based Delphi consensus provides a framework for standardizing AABO application, enhancing surgical safety, and guiding future research.

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来源期刊

Ejso 医学-外科

CiteScore

6.40

自引率

2.60%

发文量

1148

审稿时长

41 days

期刊介绍： JSO - European Journal of Surgical Oncology ("the Journal of Cancer Surgery") is the Official Journal of the European Society of Surgical Oncology and BASO ~ the Association for Cancer Surgery. The EJSO aims to advance surgical oncology research and practice through the publication of original research articles, review articles, editorials, debates and correspondence.