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Current practice patterns of preoperative bowel preparation in colorectal surgery: a nation-wide survey by the Chinese Society of Colorectal Cancer

机译:大肠外科手术前肠道准备的当前实践模式:中国大肠癌学会的全国性调查

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The optimal preoperative bowel preparation for colorectal surgery remains controversial. However, recent studies have established that bowel preparation varies significantly among countries and even surgeons at the same institution. This survey aimed to obtain information on the current practice patterns of bowel preparation for colorectal surgery in China. A paper-based survey was circulated to the members of the Chinese Society of Colorectal Cancer (CSCC). The survey responses were collected and analyzed. Statistical analysis was performed for all the categorical variables according to the responses to individual questions. Three hundred forty-one members completed the questionnaire. Regarding surgical practice, 203 (59.5%) performed >?50% of the colorectal operations laparoscopically or robotically; the use of mechanical bowel preparation (MBP) alone was significantly higher (63.5 vs 31.9%; P 200 colonic or rectal resections provided significantly more MBP alone (79.6 vs 39.1%, P?
机译:大肠手术的最佳术前肠道准备仍存在争议。但是,最近的研究表明,不同国家甚至同一机构的外科医生在肠道准备方面存在很大差异。这项调查旨在获得有关中国大肠手术肠道准备的当前实践模式的信息。一项纸质调查被分发给了中国结直肠癌学会(CSCC)的成员。收集调查问卷并进行分析。根据对单个问题的回答,对所有分类变量进行了统计分析。 314位成员填写了问卷。关于外科手术,有203(59.5%)人通过腹腔镜或机器人进行了大肠手术的≥50%;单独使用机械肠准备(MBP)的比例明显更高(63.5比31.9%; P 200结肠或直肠切除术单独使用MBP的比例明显更高(79.6比39.1%,P <0.001); 76.6比43.2%,P 床位数少于500的医院中,有52.4%的受访者使用了MBP +口服抗生素制剂(OAP)+灌肠,远远高于床位数超过500的医院中的受访者(P <0.001)。 0.001)。近40%的被调查者在治疗方案中采用OAP处方;同时,有74.8%的患者在术前使用了静脉注射抗生素;这项研究表明CSCC成员之间存在很大差异,在开展多中心试验时应考虑这些发现并提供更明确的答案。

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