非输入式与输入式视频辅助胸腔镜子弹切除术 - - 一项回顾性队列研究
M P Palaniappa1, N C Diong1, D Benedict1
1Kuala Lumpur General Hospital, Department of General Surgery, Thoracic Surgery Unit, Kuala Lumpur, Malaysia.
The Medical journal of Malaysia
|September 29, 2023
概括
非输入管的单门VATS (NiVATS) 囊切除术比输入管的VATS (iVATS) 提供了更好的结果. NiVATS导致了较短的操作时间和住院时间,并发症率相似,使其成为一个安全的替代方案.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性手术的方法
- 肺部手术 肺部手术
背景情况:
- 胸部手术的手术技术已经有了很大的进步.
- 视频辅助胸腔镜手术 (VATS) 演变为单门式VATS.
- 非插管单门增值税 (NiVATS) 作为一种新方法出现,特别是在COVID-19大流行期间.
研究的目的:
- 为了比较使用直管式单门VATS (iVATS) 和非直管式单门VATS (NiVATS) 进行的切术的结果.
- 评估关键的手术指标,包括操作时间,全球操作时间,停留时间和并发症率.
主要方法:
- 对于2017年6月至2022年5月期间接受弹切除术的患者的医疗记录进行了回顾性审查.
- 36个iVATS程序与54个NiVATS程序的比较.
- 使用曼·惠特尼U测试来比较变量的统计分析.
主要成果:
- 与 iVATS 集团相比,NiVATS 集团的术后停留时间 (LOS),整体运行时间 (GOT) 和运行时间 (OT) 显著缩短.
- 在NiVATS和iVATS之间没有观察到并发症率的显著差异.
- 总共分析了90个子弹切除术.
结论:
- 非插管单门VATS (NiVATS) 是一个安全可靠的手术方法,用于切除.
- 与直管式单门式VATS (iVATS) 相比,NiVATS显示出更优异的外科治疗结果.
- 这项研究强调了NiVATS在胸部外科手术中的好处.
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