单门视频辅助胸腔镜在儿科-初步经验的单门视频辅助胸腔镜
Firas Emad Abu Akar1,2, Nisreen Rumman3, Bisanne Shaqqura1
1Department of Cardiothoracic Surgery, Al-Makassed Charitable Society Hospital, East Jerusalem, Palestinian Territories.
Translational pediatrics
|June 12, 2023
概括
单端口视频辅助胸腔镜手术 (VATS) 在儿科患者中可行且安全,死亡率为零. 这种方法对儿童的微创胸部手术有希望.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
背景情况:
- 内镜手术,包括单端口视频辅助胸腔镜手术 (VATS),正在迅速发展.
- 虽然在成年人中已经确立,但在儿科病例中关于单门VATS的文献有限.
- 这项研究解决了对儿童单门VATS数据的需求.
研究的目的:
- 评估单门VATS在儿科患者中的可行性和安全性.
- 介绍一个单一的第三级医院的初步经验.
- 为帮助人们在儿科环境中更好地理解这种技术做出贡献.
主要方法:
- 在两年内对接受单门VATS的儿科患者进行了回顾性审查.
- 包括肋间间和下两种方法.
- 平均随访时间为8个月.
主要成果:
- 68名儿科患者 (平均年龄为3.5岁) 接受了针对各种病理的单门VATS.
- 观察到零死亡率.
- 平均手术时间为116分钟,平均停留时间为5天;有3例需要转换为开放手术.
结论:
- 单端VATS是一个可行和适用于儿科患者的方法.
- 结果支持儿童手术的安全性.
- 需要进一步的研究来比较单门式VATS与多门式VATS,以了解诸如宇宙和生活质量等特定结果.
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