视频胸腔镜与支气管切除肺切除的开放方法的早期和晚期结果
Antero Gomes Neto1,2, Lucas Castro DE Oliveira1, Flávio Mendes Alves1
1- Universidade Federal do Ceará, Cirurgia Torácica - Fortaleza - CE - Brasil.
Revista do Colegio Brasileiro de Cirurgioes
|September 11, 2024
概括
视频辅助胸部手术 (VATS) 的并发症率与支气管切除手术的开放胸切除术 (OT) 相似. 增值税提供更快的恢复与更短的住院时间和优秀的长期结果,特别是在局部疾病.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术创新 在外科创新.
背景情况:
- 支气管切开症是一种慢性肺部疾病,其特征是不可逆转的气道扩张.
- 在严重或耐火病例中考虑进行外科手术.
- 将微创视频辅助胸部手术 (VATS) 与传统的开放胸切除术 (OT) 进行比较,对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较VATS与OT用于支气管切除的早期和晚期手术结果.
- 评估两种手术方法之间的发病率,死亡率和功能结果.
- 评估疾病局部化对手术成功的影响.
主要方法:
- 对103名经过108次支气管切除术的患者进行了回顾性观察性研究.
- 患者被分为VATS和OT组.
- 关键变量包括人口统计,症状,肺功能 (FVC,FEV1),并发症,死亡率和住院时间. 晚期的结果被分为优秀,好或差.
主要成果:
- 在VATS (24.5%) 和OT (29.6%) 之间,并发症率没有显著差异.
- 与OT (8.7天) 相比,VATS组的住院时间明显较短 (5.4天).
- 在71.4%的患者中取得了优异的晚期结果,局部支气管病 (82.1%) 与非局部疾病 (47.5%) 相比,在局部支气管病 (82.1%) 中取得了更好的结果.
结论:
- 在支气管切除术中,VATS的发病率与OT的发病率相当.
- VATS与更短的住院时间有关,这表明恢复速度更快.
- 优秀的长期结果是常见的,特别是在局部支气管切除症患者中,支持VATS作为首选的方法.
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