多学科管理下降性死性中炎:胸腔镜治疗是可行的吗?
Beatrice Leonardi1, Giovanni Natale1, Caterina Sagnelli2
1Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Journal of clinical medicine
|April 27, 2024
概括
视频辅助胸腔镜手术 (VATS) 是一种安全有效的治疗方式,用于治疗下降性死性中炎 (DNM). 与传统的胸切除术相比,这种微创手术方法提供了较短的手术时间和重症监护室停留时间.
科学领域:
- 胸部外科手术 胸部外科手术
- 传染性疾病 传染性疾病
- 最少侵入性手术的方法
背景情况:
- 下降性死性中炎 (DNM) 是一种严重的感染.
- 口感染可以扩散到中.
- 传统的治疗包括胸腔切除术,以进行中管排水.
研究的目的:
- 评估视频辅助胸腔镜手术 (VATS) 对DNM的有效性.
- 将VATS与DNM患者的传统胸切除术进行比较.
- 评估手术结果,发病率和死亡率.
主要方法:
- 追溯多中心研究.
- 包括DNM患者通过VATS或胸腔切除术进行中枢干流.
- 排除心脏,肺或食道手术中炎的患者.
主要成果:
- 在手术结果,发病率或死亡率方面,在VATS和胸切除术组之间没有显著差异.
- 增值税组显示较短的操作时间 (p=0.016) 和ICU停留时间 (p=0.026).
- 增值税与增加的并发症率无关.
结论:
- VATS是一种安全有效的DNM治疗方法.
- 与胸切除术相比,VATS在手术时间和ICU逗留方面提供了优势.
- 在DNM中,VATS代表了中干道的可行替代方案.
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