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在患有先天性肺形的儿童中进行胸腔镜分片切除术
Seohee Joo1, Taeyoung Yun1, Chang Hyun Kang2
1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea.
Scientific reports
|June 14, 2023
概括
视频辅助胸腔镜手术 (VATS) 分隔切除是儿童先天性肺形 (CLM) 的安全和可行的肺节省选择. 虽然结果与VATS分片切除术相似,但在VATS分片切除术中,持续的空气泄漏更为常见.
科学领域:
- 儿科外科手术 儿科外科手术
- 胸部外科手术 胸部外科手术
- 遗传性肺部形 遗传性肺部形 遗传性肺部形
背景情况:
- 先天性肺形 (CLM) 通常是通过肺叶切除术来管理的.
- 手术技术的进步引入了视频辅助胸腔镜手术 (VATS) 分段切除作为一种潜在的替代方案.
- 与叶切除术相比,VATS细分切除术提供了一种节省肺膜的方法.
研究的目的:
- 评估VATS细分切除术在儿科患者中对CLM的安全性,可行性和有效性.
- 在患有CLM的儿童中,比较VATS细分切除术与VATS叶切除术的外科结果.
主要方法:
- 对85名为CLM而接受VATS细分切除术的儿童进行了回顾性分析 (2010年1月 - 2020年7月).
- 在VATS分片切除 (n=84) 和VATS分片切除 (n=465) 组之间,手术结果的比较.
- 收集的数据包括手术时间,胸管持续时间,住院时间,并发症和随访.
主要成果:
- 在技术上,通过一次转换为胸腔切除术,VATS细分切除术是可行的.
- 没有术后死亡率;8.2%的并发症率 (7.1%持续的空气泄漏,1.2%的肺炎).
- 术后结果与VATS分管切除术相似,但在VATS分管切除术组中,持续性空气泄漏率明显高 (7.1%对1.1%) .
结论:
- 增值税细分切除术是一个技术上可行的和有效的肺膜节约策略,用于儿科CLM.
- 它显示了可接受的早期和中期结果,与VATS叶切除术相提并论.
- 持续性空气泄漏的更高发生率需要在CLM的VATS细分切除中仔细考虑和管理.
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