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单门视频辅助胸部手术:分片切除术与分片切除术-早期结果
Erik Sachs1,2, Veronica Jackson1, Mamdoh Al-Ameri1,2
1Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
概括
单门视频辅助断片切除术和叶片切除术在肺癌手术中显示出类似的安全性和可行性. 这两种手术都导致了可比的早期术后结果,包括并发症率和出院.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性手术的方法
- 在瘤学瘤学.
背景情况:
- 单门视频辅助胸腔镜手术 (VATS) 越来越多地用于肺切除.
- 分段切除术是肺部早期癌症的肺部切除术的节省肺部的替代方案.
研究的目的:
- 评估单门VATS肺部细分切除术与带切除术的可行性和安全性.
- 为了比较这两种单门VATS手术之间的早期术后结果.
主要方法:
- 对833名接受单门断片切除或分叶切除的患者 (2017-2022) 的回顾性研究.
- 早期临床结果的比较,使用治疗权重的逆概率来调整基线差异.
主要成果:
- 分段切除术和分叶切除术组的术后并发症率 (97%对94%) 和直接在家出院 (90%对89%) 率相似.
- 在非激素显微切除 (1.7%与1.8%) 或排水移除时间 (POD1为75%与72%) 中没有显著差异.
- 在细分切除组中,I期肺癌的比例更高 (65%与43%相比).
结论:
- 单门VATS分段切除术是一种可行且安全的手术.
- 单门分隔切除术的早期术后结果与肺癌单门分隔切除术相似.
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