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对同时进行的双边单门胸腔镜手术对多个双边原发性肺结节的回顾性分析
Jun-Jun Zhou1, Xiao-Yong Song1, Bing-Yang Huang1
1Department of Thoracic Surgery, The Ninth Medical Center of PLA General Hospital, No. 9 Anxiang North Lane, Deshengmenwai, Chaoyang District, Beijing, 100101, China.
Journal of cardiothoracic surgery
|October 1, 2024
概括
同时的双边单门视频辅助胸腔镜手术是治疗多个肺结节的安全和可行的方法. 这种微创技术为双边肺部疾病患者提供了精确的管理.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 肺部医学 肺部医学
背景情况:
- 对于需要切除的双边多重肺结节,目前还没有标准治疗方法.
- 单门视频辅助胸腔镜手术 (VATS) 提供了一个微创的替代方案.
研究的目的:
- 评估同时使用双边单门VATS治疗双边多重原发性肺结节的安全性和有效性.
- 总结外科和外科周围的结果.
主要方法:
- 在2018年1月至2020年11月期间,65名患者同时接受双边单门VATS的回顾性分析.
- 包括有关手术技术,外科手术期间的参数,病理和并发症的数据.
- 在53名患者中利用CT引导的Hookwire定位用于结节的识别.
主要成果:
- 189个结节被切除,恶性瘤的发生率很高 (86.2%).
- 平均操作时间:226分钟;平均排水时间:3.1天;平均住院时间:8.6天.
- 低并发症率:15.38%是长时间排水,12.31%是其他并发症 (感染,心律失常,血栓形成).
结论:
- 同时双边单门VATS是双边多重肺结节的安全和可行的程序.
- 该技术提供了个性化和精确的治疗选择.
- 在选定的患者队列中观察到有利的结局.
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