Departmental Bulletin Paper 当院における腹部緊急手術の現状

北村, 直美  ,  清水, 智治  ,  坂井, 幸子  ,  三宅, 亨  ,  赤堀, 浩也  ,  太田, 裕之  ,  園田, 寛道  ,  山口, 剛  ,  森, 毅  ,  田畑, 貴久  ,  江口, 豊  ,  谷, 眞至

29 ( 1 )  , pp.40 - 45 , 2016-03-25 , 滋賀医科大学雑誌編集委員会
Description
Objective: The purpose of this study was to evaluate the major types of abdominal diseases that require emergency surgery, route of transfer to the hospital, patient prognosis, and role of emergency room (ER) doctors in Shiga University of Medical Science Hospital. Methods: A total of 202 patients underwent emergency surgery for abdominal disease from January 2011 to May 2015. We examined data regarding the patient’s course until hospitalization, ER visits, disease content, and prognoses. Results: Gall bladder disease (50 cases, 24.8%) was the most common abdominal disease that required emergency surgery, followed by bowel obstruction (43 cases, 21.3%) and acute appendicitis (42 cases, 20.8%). Moreover, we observed that the time from initial diagnosis to operation and the time from disease onset to the operation was shorter for ER doctors than other doctors (21 [2–70] h vs. 23 (2–170) h, p=0.043) and 35 (7–127) h vs. 46.5 (15–307) h, p=0.043). Conclusions: Successful abdominal emergency surgery requires a collaborative effort from various clinical departments. We recommend using a collaborative approach during emergency surgery in our hospital to safely achieve the best outcomes.
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http://repository.shiga-med.ac.jp/dspace//bitstream/10422/11272/1/jsums2901p040.pdf

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