相关实验视频
Updated: Jun 24, 2025

03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
659
在 (VATS和RATS) 叶切除术后,是否需要进行日常的每日胸部X射线 (CXR)?
Nathan J Alcasid1, Kian C Banks1, Sheng-Fang Jiang2
1University of California, San Francisco-East Bay, Department of General Surgery, Oakland, CA, USA.
Surgery open science
|June 14, 2024
概括
临床发现,而不是胸部X射线,更好地预测视频辅助和机器人辅助胸腔镜手术后的术后并发症. 对于没有症状的患者,常规成像可能是不必要的,从而优化了VATS/RATS叶切除术后的护理.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 胸部手术后术后成像指南缺乏共识.
- 每日胸部X射线图 (CXRs) 视频辅助后 (VATS) 和机器人辅助 (RATS) 胸腔镜手术的有效性尚未研究.
- 需要确定临床发现或成像是否更好地预测并发症.
研究的目的:
- 调查异常临床发现或异常胸部X射线图 (CXR) 是否更好地预测VATS/RATS叶切除术后的术后并发症.
- 评估在指导管理中常规术后成像的必要性.
- 确定程序要求和延长停留时间 (LOS) 的预测因素.
主要方法:
- 对362名VATS/RATS叶切除术患者的回顾性审查 (2019/1-12/31/2021).
- 人口统计的评估,医院的过程和成像.
- 统计分析包括千平方,费舍尔精确,威尔科克森等级和多变量后勤回归.
主要成果:
- 15名患者 (4.1%) 经历了需要手术的术后并发症.
- 异常的临床迹象/症状预测了手术要求 (OR=48),而异常的术后第一天CXR则没有.
- 积极的吸烟史,CXRs数量和胸腔切除管预测了延长的LOS,但临床迹象/症状没有.
结论:
- 异常的临床发现比VATS/RATS后的异常CXR更容易预测需要手术的术后并发症.
- 在没有临床迹象或症状的患者中,例行术后CXR可能是不必要的.
- 临床评估对于指导经过微创胸叶切除术后的管理决策至关重要.
相关概念视频
Pneumothorax-II
139
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:
139
Radiological Investigation II: MRI and Ventilation Perfusion Scan
111
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
111
Radiological Investigation I: X-ray and CT
226
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
226
Endoscopic Studies II: Thoracocentesis
245
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...
245
Radiological Investigation III: Pulmonary Angiogram and PET Scan
91
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
91
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
187
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
187

