相关实验视频
Updated: Jul 5, 2025

04:38
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
312
在机器人胸膜切除术后使用胸管是不必要的
Ashley J McCormack1, Mohamed El Zaeedi1, Michael Dorsey1
1Department of Cardiothoracic Surgery, NYU Langone Health, New York, NY.
JTCVS open
|January 11, 2024
概括
在机器人乳腺切除术后,胸腔管不需要. 这项研究表明,省略胸腔管是安全有效的,挑战了常规实践,以获得更好的患者结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 外科手术的结果
背景情况:
- 胸腔管通常在甲状腺切除术后放置,但缺乏支持这种做法的证据.
- 机器人胸膜切除术提供了一种对胸膜病理的微创方法.
研究的目的:
- 为了评估在机器人胸膜切除术后省略胸管的安全性和有效性.
- 在这个患者群体中挑战胸管安置的常规实践.
主要方法:
- 一个单一外科医生进行机器人胸膜切除术的患者的回顾性审查.
- 对患者特征和术后结果的分析,特别关注胸腔管的使用.
主要成果:
- 75名患者接受了机器人胸膜切除术,85.3%的患者进行了左侧切除术.
- 只有1名患者 (1.3%) 需要由于持续的空气泄漏而进行胸腔导管,该导管在当天被移除.
- 没有需要在手术前或手术后立即放置胸腔管; 86.7%的患者在手术后的第一天出院.
结论:
- 在机器人胸膜切除术后,对大多数患者来说,常规的胸管安置是不必要的.
- 省略胸腔管是一种安全有效的策略,改善了患者的管理,并可能减少住院时间.
相关概念视频
Pneumothorax-II
153
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
153
Endoscopic Studies II: Thoracocentesis
264
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
264
Tracheostomy: Procedure and Tubes
597
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
597
Flail Chest-II
174
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
174
Oxygen Delivering System III: Tracheostomy and T-piece
977
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
977
Pneumothorax-I
211
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
211

