完整的胸腔镜叶切除术与混合的视频辅助胸腔镜叶切除术对于非小细胞肺癌
Tomohiro Fujita1,2, Akira Koyanagi3, Koji Kishimoto3
1Department of Thoracic Surgery, Shimane University Hospital, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan. thfujita@outlook.com.
General thoracic and cardiovascular surgery
|June 13, 2023
概括
完全胸腔镜手术 (CTS) 是对非小细胞肺癌 (NSCLC) 叶切除术的一种不那么侵入性的方法. 与混合VATS相比,CTS显示出优越的短期结果,并减少了并发症和住院时间.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 最少侵入性手术的方法
背景情况:
- 视频辅助胸腔镜手术 (VATS) 是早期非小细胞肺癌 (NSCLC) 叶切除术的标准.
- 完全胸腔镜手术 (CTS) 提供了一个潜在的少入侵的替代方案,由于减少胸壁的压力.
研究的目的:
- 为了比较CTS的治疗结果和NSCLC的混合VATS叶切除术.
- 评估CTS与混合VATS在早期NSCLC患者中的疗效和安全性.
主要方法:
- 一项回顾性研究,涉及442名临床N0NSCLC患者,接受了分叶切除术 (2007-2016).
- 患者被分为CTS和混合VATS组.
- 倾向性得分匹配被用来创建可比较的组 (175名患者在匹配后).
主要成果:
- CTS组的血液流失显著减少 (50毫升对100毫升) 和并发症减少 (25.7%对36.6%).
- 术后住院时间在CTS组较短 (8天对12天).
- 两组之间在5年整体存活率,无复发存活率或肺癌特异性存活率方面没有发现显著差异.
结论:
- 完全胸腔镜手术 (CTS) 是NSCLC分泌管切除术的一种不那么侵入性的方法.
- 与混合VATS相比,CTS为早期NSCLC提供了优越的短期结果,包括降低了发病率和更短的住院时间.
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