在患有血管胸腔出口综合征的患者中使用视频胸腔镜进行第一个肋骨切除
Agustín Buero1, Soledad Olivera Lopez1, Gustavo A Lyons1
1Thoracic Surgery Department, Hospital Británico, Buenos Aires, Argentina.
EJVES vascular forum
|September 23, 2024
概括
视频辅助胸腔镜手术 (VATS) 第一次肋骨切除提供了血管胸部出口综合征 (TOS) 的安全有效治疗方法. 这种最少的侵入性方法提供了优秀的可视化,减少并发症和实现积极的患者结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 血管外科 血管外科
- 最少侵入性手术的方法
背景情况:
- 胸腔出口综合征 (TOS) 涉及到胸腔出口中的神经血管压缩.
- 第一个肋骨切除是减压这些结构的外科选择.
- 传统的手术方法带有风险和局限性.
研究的目的:
- 评估手术经验和VATS第一个肋骨切除血管TOS的结果.
- 与传统方法相比,评估VATS的安全性和有效性.
主要方法:
- 对患有血管TOS的患者的前性数据库的回顾性分析.
- 包括2017年1月至2023年12月期间接受VATS第一次肋骨切除的患者.
- 收集有关术前细节,并发症,症状改善和复发的数据.
主要成果:
- 在29名患者 (31名静脉TOS,1名动脉TOS) 进行了VATS的第一个肋骨切除.
- 平均住院时间为2.7天;没有手术内并发症或转换为开放手术.
- 重大术后并发症的发生率低 (6.25%);在中期随访时没有复发 (中位数为17.9个月).
结论:
- VATS第一个肋骨切除是血管TOS的安全和可行的最小侵入性手术.
- 在VATS期间增强的可视化减少了手术中的并发症.
- 如果需要,VATS可以进行完整的肋骨切除,提供了显著的优势.
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