副手臂外整形切口与一次切口胸腔镜手术对初级自发性肺胸部进行手术
Yuan-Liang Zheng1, Ri-Sheng Huang2
1Department of Thoracic Surgery, Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, the Second Affiliated Hospital of Shanghai University, Wenzhou, Zhejiang, China.
Journal of cardiothoracic surgery
|July 12, 2023
概括
主要自发性肺胸部 (PSP) 的下下臂整形切口 (SACI) 手术是安全的和可行的. 然而,与标准单切口胸腔镜手术 (SITS) 相比,患者报告的切口满意度较低.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 整形外科 整形外科 整形外科
背景情况:
- 单切口胸腔镜手术 (SITS) 是对初级自发性肺胸 (PSP) 的常见治疗方法.
- 传统的SITS方法通常是可见的,这促使人们对更隐蔽的切口技术进行研究.
- 亚骨化切口 (SACI) 技术是为了改善PSP手术中的化品结果而开发的.
研究的目的:
- 评估用于原发性自发性肺胸部 (PSP) 的下下臂美容切口 (SACI) 技术的安全性,可行性和患者满意度.
- 为了比较SACI的化品结果和手术结果与PSP的标准单切口胸腔镜手术 (SITS).
主要方法:
- 在2017年1月至2019年1月期间,对128名PSP患者进行视频辅助胸腔镜手术 (VATS) 的回顾性研究.
- 患者被分为SACI (n=21) 和SITS (n=57) 组,其中21对使用倾向分数匹配 (PSM) 进行匹配.
- 切口满意度在手术后2周和6个月被评估.
主要成果:
- 在SACI和SITS组之间没有观察到基线特征或手术结果的显著差异.
- 在SACI组的操作时间更长 (p=0.013).
- 在SACI组中,切口满意度得分在手术后的2周 (p=0.022) 和6个月 (p=0.039) 都明显较低.
- 在这两组中都没有报告术后并发症或ipsilateral肺胸部复发.
结论:
- 副手臂外整形切口 (SACI) 是一种安全且可行的手术选择,用于原发性自发性肺胸 (PSP).
- 虽然SACI提供了更好的切口隐藏,但与标准SITS相比,患者对化品结果的满意度较低.
- 对于那些优先考虑隐蔽切口的患者,可以考虑SACI,尽管可能需要更长的操作时间和较低的满意度得分.
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