支气管切除损坏的肺部手术:视频辅助胸腔镜手术的可行性,以及手术结果
Xinnan Xu1, Jie Dai1, Kaiqi Jin1
1Department of Thoracic Surgery, Shanghai Pulmonary Hospital Tongji University, Shanghai, People's Republic of China.
Interdisciplinary cardiovascular and thoracic surgery
|November 6, 2023
概括
视频辅助胸腔镜手术 (VATS) 是可行的治疗支气管切除损坏的肺 (BDL) 在选定的患者. 虽然肺切除术增加了并发症的风险,但完全去除病变会带来良好的结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 最少侵入性的手术
背景情况:
- 支气管切除损坏的肺部 (BDL) 带来了重大的外科手术挑战.
- 评估像VATS这样的最小侵入性方法对于改善患者的治疗结果至关重要.
研究的目的:
- 详细介绍使用BDL的手术经验.
- 评估VATS对BDL治疗的可行性和结果.
主要方法:
- 对143名BDL患者 (2013-2018年) 的回顾性分析,这些患者接受了VATS或胸腔切除治疗.
- 后勤和考克斯回归分析确定了并发症和症状复发的预测因素.
主要成果:
- 增值税是可行的,有9个小的转换到胸切除术. 增值税患者的胸腔导管持续时间,住院时间和恢复活动时间较短.
- 严重并发症发生在19.6%的患者中,在肺切除术 (50%) 和切除术 (13.4%) 后显著增加.
- 98.6%的患者出现症状改善; Pseudomonas aeruginosa感染和残留疾病程度预测复发.
结论:
- 对于经过精心挑选的BDL患者来说,VATS是一种可行的手术选择.
- 肺切除术与手术后严重并发症的增加有关.
- 完全切除BDL病变是实现令人满意的长期预后的关键.
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