非输入式与输入式视频辅助胸腔镜叶切除术用于肺癌患者
Jakraphan Yu1, Apichat Tantraworasin2, Sira Laohathai1
1CardioThoracic Surgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
Asian journal of surgery
|September 30, 2023
概括
非输入式视频辅助胸腔镜手术 (NIVATS) 叶片切除术为肺癌患者提供了好处,包括较短的住院时间和较短的胸管持续时间,与全身麻醉VATS (GAVATS) 相比. 这种微创手术方法为胸部手术提供了可行的替代方案.
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
- 在瘤学瘤学.
背景情况:
- 视频辅助胸腔镜手术 (VATS) 叶切除术是一种标准的肺癌治疗方法,以减少疼痛和更快的恢复而闻名.
- 非输入式VATS (NIVATS) 已经成为一种替代方案,可能减少与机械通风相关的并发症.
研究的目的:
- 为了比较NIVATS叶切除术与肺癌患者的全麻醉VATS (GAVATS) 叶切除术的结果.
- 评估两种手术方法之间的术前,术后和术后结果.
主要方法:
- 进行了一项回顾性队列研究,涉及132名肺癌患者,这些患者接受了脑腔切除术.
- 需要转换为GAVATS,开放胸切除术或紧急手术的患者被排除在外.
- 使用逆概率权重倾向评分分析来确定NIVATS的治疗效应.
主要成果:
- 尼瓦斯 (NIVATS) 脑膜切除术显著降低了诱导和手术时间 (分别p < 0.001和p = 0.003).
- 手术后的结局显示,NIVATS组的住院时间较短 (4 vs. 5天,p < 0.001),胸腔管持续时间减少.
- 两组之间没有观察到节点切除,淋巴结解剖,心律失常,术后并发症或疼痛评分 (VAS) 的显著差异.
结论:
- 对肺癌患者来说,NIVATS 叶片切除术是一种可行的替代方案.
- 这种方法提供了显著的好处,包括更短的住院时间和更短的胸管持续时间.
- 该研究没有发现从NIVATS转换为GAVATS的情况,支持其安全性和有效性.
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