如何预测困难腹腔镜胆囊切除术 - 一个简单的术前评分系统的建议

如何预测困难腹腔镜胆囊切除术 - 一个简单的术前评分系统的建议
How to predict difficult laparoscopic cholecystectomy- Proposal for a simple preoperative scoring system

Abstract
BACKGROUND:
Few studies have used operative time as a reflection of the surgical difficulty to create a preoperative score of operative difficulty in laparoscopic cholecystectomies (DiLCs score).
摘要
背景：
很少有研究采用手术时间为一个反射的手术难度创造了术前腹腔镜胆囊切除术手术难度评分（dilcs评分）。

METHODS:
Patients who benefited from cholecystectomy between 2010 and 2015 were reviewed. Difficult procedures were identified using the deviations from the operative time for simple cholecystectomies. Logistic regression analyses were carried out to build risk-assessment models and derive the DiLC score.
方法：
回顾2010年至2015年间从胆囊切除术中获益的患者。 使用与简单胆囊切除术的手术时间的偏差来鉴定困难的程序。 进行Logistic回归分析以建立风险评估模型并得到DiLC评分。

RESULTS:
Overall, 644 patients were identified. Multivariate analyses identified male sex, previous cholecystitis attack, fibrinogen, neutrophil, and alkaline phosphatase count to be predictive of operative difficulties. Risk-assessment model was generated with an area under the receiver-operator curve of .80. Internal validation was performed using the bootstrap method.
结果：
总体而言，确定了644例患者。 多变量分析确定男性，以前的胆囊炎攻击，纤维蛋白原，嗜中性粒细胞和碱性磷酸酶计数以预测手术困难。 生成了风险评估模型，其接收器 - 算子曲线下的面积为.80。 使用引导方法进行内部验证。

CONCLUSIONS:
The DiLC score is a simple and reliable tool which could be used to improve patient counseling, optimize surgical planning, detect procedures at risk, identify patients eligible for outpatient care, and enhance resident training.
结论：
该等评分是一个简单的工具，可以用来提高病人的咨询和可靠，优化手术规划、风险检测程序，确定符合条件的门诊病人的护理，提高住院医师培训。

KEYWORDS:
Cholecystectomy; Cholecystitis, acute; Cholecystolithiasis; Laparoscopic; Operative difficulty; Scoring system
关键词：
胆囊切除术；胆囊炎，急性；胆囊结石；腹腔镜；手术难度；评分系统

英文原文：
How to predict difficult laparoscopic cholecystectomy- Proposal for a simple pre.pdf (546.78 KB, 下载次数: 1, 售价: 99 香叶)

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如何预测困难腹腔镜胆囊切除术 - 一个简单的术前评分系统的建议