消化系统肿瘤切除术的手术部位感染。

Adriano Carneiro da Costa, Fernando Santa-Cruz, Ana Valéria Torres, Eduarda Augusta de Lucena Caldas, Alessandro Mazzota, Flávio Kreimer, Álvaro Antônio Bandeira Ferraz
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引用次数: 0

摘要

术后感染并发症对外科医生和整个医疗团队都极为重要。在这些并发症中,手术部位感染(SSI)似乎是最早和最普遍的并发症之一,被认为是外科手术的固有并发症。在接受消化系统肿瘤切除术的肿瘤患者中,有几种风险因素会导致 SSI,因此有必要制定措施,最大限度地控制这种情况,为这些患者提供更好的预后。导致 SSI 的一些风险因素包括:操作结肠等病原微生物密度最高的结构、患者的表现状况、患者的营养状况、化疗和/或放疗的使用,以及手术过程本身,因为手术过程往往比消化系统良性疾病的手术持续时间更长、更复杂。因此,本综述旨在对接受了手术切除且术后结构良好的肿瘤患者术后 SSI 的相关文献进行定性分析和总结,提供有关该问题的客观数据,并提醒患者在术前、术中和术后需要制定结构良好的个体化方案,以避免此类事件的发生。
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SURGICAL SITE INFECTION IN RESECTIONS OF DIGESTIVE SYSTEM TUMOURS.

Postoperative infectious complications are extremely important to surgeons and the entire medical care team. Among these complications, surgical site infection (SSI) appears to be one of the earliest and most prevalent events and is considered an inherent complication of surgical procedures. In oncological patients submitted to resections of digestive system tumors, there is a confluence of several risk factors for SSI, making it necessary to establish measures to maximize the control of this condition to provide a better prognosis for these patients. Some risk factors for SSI are the manipulation of structures hosting the highest density of pathogenic microorganisms, such as the colon, the patient's performance status, the patient's nutritional status, the use of chemotherapy and/or radiotherapy, and the surgical procedure itself, which tends to last longer and be more complex than surgeries for benign conditions of the digestive system. Therefore, this review sought to provide a qualitative analysis and a summary of the literature regarding the SSI of postoperative tumor patients who underwent surgical resection and were well-structured postoperatively, to provide objective data on this problem, and alert about the well-structured needs of individualized pre-, peri-, and post-protocols to avoid the development of these events.

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