资源贫乏地区肾细胞癌麻醉治疗的考虑

Hart Fiekabo, Abhulimen Victor
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摘要

导读:肾细胞癌(RCC)占全球癌症诊断和死亡的2%,其发病率在全球范围内呈上升趋势。在非洲,肾细胞癌的发病率相对较低,但许多患者出现较晚的晚期疾病,因此预后较差。这些病人的麻醉护理很重要。材料和方法:这是一项在哈科特港大学教学医院进行的为期十年的回顾性研究。该研究获得了医院伦理委员会的伦理批准。所获得的信息包括麻醉类型和术后疼痛处理方法。对收集到的数据进行分析并以表格形式呈现。结果:全身麻醉占84%,局部麻醉占16%,所有患者均采用多模式疼痛管理方法。结论:肾脏手术的围手术期处理因疾病和患者群体的不同而有很大差异,麻醉必须考虑各种手术入路,并做好辅助外科医生的准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anaesthetic Considerations in Managing Renal cell Carcinoma in a Resource-Poor Setting
Introduction: Renal Cell Carcinoma (RCC) accounts for 2% of global cancer diagnoses and deaths, its incidence is increasing globally. In Africa, the incidence of RCC is relatively low but many patients present late with advanced-stage disease and consequently, poorer prognosis. Anaesthetic care of these patients is important. Materials and Methods: This is a ten-year retrospective study conducted at the University of Port Harcourt Teaching Hospital. Ethical approval for the study was sought and gotten from the hospital’s ethical committee. The information gotten includes the type of anaesthesia and method of postoperative pain management. The data collected was analyzed and presented in a table. Results: 84% had general anaesthesia while 16% had regional anaesthesia, all the patients had multimodal method of pain management. Conclusion: Perioperative management for renal surgery varies significantly depending on the disease and patient groups, the anaesthetic must take into consideration the various surgical approaches and be prepared to assist the surgeon.
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