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儿科胸腔镜肺切除:对先天性病变病例的全面分析
Gijsbert Musters1,2, Sjoerd de Beer1, Joost van Schuppen3
1Department of Pediatric Surgery, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
儿童先天性肺病变的视频辅助胸腔镜手术 (VATS) 的并发症率很低. 延迟诊断和手术可能会增加风险,这突显了对患有肺部形的儿童及时干预的需要.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
背景情况:
- 儿童的先天性肺病变可以通过非手术或通过VATS进行管理.
- VATS为儿科肺切除提供了一种最小侵入性的方法.
研究的目的:
- 评估与VATS相关的术后并发症,用于儿科患者的先天性肺病变.
- 在这个人群中确定VATS后并发症的危险因素.
主要方法:
- 在2009年1月至2022年6月期间接受肺切除的儿科患者的回顾性评估.
- 排除原发性开放性叶片切除术和非先天性病变.
- 早期 (<30天) 和晚期术后肺部并发症的评估,并发症的主要终点在30天内.
主要成果:
- 包括56名儿科患者;82%接受了VATS叶切除术.
- 转换为开放性手术发生在11%的病例中,与手术前的肺部感染有关 (p=0.004).
- 总的来说,9名患者经历了Clavien-Dindo ≥3次并发症,6名患者有轻微的并发症;所有患者在随访期间都幸存下来.
结论:
- VATS是儿童先天性肺病变的安全手术.
- 对症状性肺形的延迟诊断和手术的趋势可能会增加术后并发症的发生率.
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