从视频辅助胸腔镜分泌切除术转换为胸腔切除术后的结果
Marcus Taylor1, Gokul Raj Krishna1, Kandadai Rammohan1
1Department of Cardiothoracic Surgery, Manchester University NHS Foundation Trust, Manchester, United Kingdom.
The Thoracic and cardiovascular surgeon
|November 15, 2023
概括
视频辅助胸腔镜手术 (VATS) 转换为肺癌胸切除术具有可比的短期和中期结果. 肥胖,男性性别和III期疾病是转换的风险因素,但结果仍然与计划胸切除术相似.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 视频辅助胸腔镜手术 (VATS) 越来越多地用于肺癌切除.
- 在VATS期间转换为胸切除术可能会影响患者的结果.
- 了解VATS转换的原因和结果至关重要.
研究的目的:
- 调查VATS转换对短期和中期结果的影响.
- 确定肺癌手术期间VATS转换的原因.
- 为了比较转换和计划胸切除术手术之间的结果.
主要方法:
- 对连续接受非小细胞肺癌分叶切除术的患者 (2012-2019) 的回顾性分析.
- 主要结局包括90天死亡率,手术内转换和整体存活率.
- 多变量后勤回归确定了转换的风险因素 (出血与非出血).
主要成果:
- 随着时间的推移,VATS完成率显著增加 (6.9%至55.1%).
- 整体转换率为14.3%,随着时间的推移显著下降.
- 肥胖,男性性别和III期疾病是转换的独立风险因素.
- 在转换和计划胸切除术组之间,90天死亡率或整体存活率没有显著差异.
结论:
- 从VATS转换为胸切除术的结果与计划胸切除术的结果相似.
- 随着时间的推移,VATS转换率一直在下降.
- 需要进一步的研究来确定转换的原因是否会影响结果.
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