[视频辅助胸腔镜中乳腺瘤切除后,胸管是不必要的]
Sho Horiuchi1, Tadasu Kohno, Shinji Yuhara
1Department of Thoracic Surgery, New Tokyo Hospital, Matsudo, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|July 20, 2023
概括
视频辅助胸部手术 (VATS) 对中瘤非常有效,有92.2%的患者接受了这种微创手术. 这种方法减少了患者的疼痛,更早的移动性和更短的住院时间.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
背景情况:
- 中腔瘤需要手术干预.
- 在胸部外科手术中,越来越多地喜欢微创手术技术.
研究的目的:
- 为了评估视频辅助胸部手术 (VATS) 对中瘤的疗效和结果.
- 评估在特定的VATS手术中对中瘤进行无胸管治疗的可行性.
主要方法:
- 在2019年4月至2022年12月期间接受中瘤手术的64名患者的回顾性分析.
- 大多数 (92.2%) 接受了三端口VATS;5名患者接受了开放的中枢椎切除术,1名患者接受了后侧胸切除术.
- 对于没有接受肺切除的患者,采用了无胸管的方案,使用尼拉顿导管去除空气.
主要成果:
- 64名患者中有59名 (92.2%) 用VATS治疗中瘤.
- 无胸管的方法在符合条件的患者中成功实施.
- 患者经历了最小的术后疼痛,使得早期出行和缩短住院时间.
结论:
- 3个端口的VATS是一种安全有效的方法来治疗中瘤.
- 在选择的VATS中瘤切除中可以安全地采用无胸管的策略,改善患者的康复.
- 与开放手术相比,VATS在术后恢复和患者舒适性方面提供了显著的优势.
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