[肺部断片切除术后的并发症:手术方法的影响]
A Moret1, L Madelaine2, H Abou Hanna2
1Service de chirurgie thoracique, CHU de Dijon, Bocage central, 14, rue Gaffarel, 21079 Dijon, France; Service de chirurgie thoracique, centre hospitalier Métropole Savoie, Chambéry, France.
Revue des maladies respiratoires
|October 5, 2023
概括
肺部细分切除术的手术方法不会影响术后并发症. 然而,在这项研究中,微创技术显著降低了30天再入院率.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 最少侵入性手术的方法
背景情况:
- 肺部细分切除术是一个不断增长的手术程序,但存在技术上的困难.
- 评估外科手术对术后结果的影响对于患者护理至关重要.
研究的目的:
- 评估不同手术方法对肺部细分切除术后的术后并发症的影响.
- 在患者的结果方面,比较胸切除术,视频胸腔镜和机器人辅助手术.
主要方法:
- 一项回顾性研究包括了223名患者,他们在2018年至2021年期间接受了肺部细分切除术.
- 根据手术方法对患者进行分类:胸切除术,视频胸切除术或机器人辅助手术.
- 主要终点是术后并发症;次要终点包括手术时间,住院,再入院和死亡率.
主要成果:
- 在手术方法之间没有观察到术后并发症的显著差异 (P=0.564).
- 手术时间,住院时间和30/90天死亡率在各组之间没有显著差异.
- 最少侵入性方法 (视频胸腔镜和机器人辅助手术) 显示,30天再入院率显著降低 (P=0.049).
结论:
- 肺部细分切除手术的选择不会影响术后并发症的发生率.
- 最少侵入性技术可能有助于在细分切除术后减少早期再入院.
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