相关实验视频
Updated: Jun 10, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
与儿童主要肺部胸腔镜切除相关的发病率
Sara Ugolini1, Lorenzo Tofani2, Elisa Zolpi3
1Thoracic Surgery Department, Barts Thorax Centre, St Bartholomew's Hospital, Barts NHS Fuondation Trust, London, United Kingdom; Ph.D. in Cardio-Nephro-Thoracic Sciences, Department of Medical and Surgical Sciences, Alma Mater Studiorum Università di Bologna.
研究了儿科胸部手术中风险增加的预测因素,包括呼吸系统症状和感染 (RAP). 观察到的并发症高于预期,特别是呼吸道症状,这表明风险计算器低估了VATS病率.
科学领域:
- 儿科胸部手术 儿科胸部手术
- 手术风险评估手术风险评估
- 视频辅助胸部外科手术 (VATS) 是一种
背景情况:
- 儿科胸部手术中风险增加的预测因素包括呼吸道症状和活跃/先前感染 (RAP).
- 视频辅助胸部手术 (VATS) 越来越多地用于儿童的大型肺切除.
- 评估手术前预测风险 (PredR) 对于管理潜在的不良事件至关重要.
研究的目的:
- 为了调查儿科VATS主要肺切除的不良事件,考虑RAP预测因素.
- 将观察到的术后并发症率 (ObsR) 与术前预测风险 (PredR) 进行比较.
- 分析RAP预测因子和儿科VATS中不良事件之间的关联.
主要方法:
- 从三个机构对儿科VATS大肺切除 (2008-2021) 的回顾性分析.
- 使用儿科手术风险计算器来确定手术前预测风险 (PredR).
- 使用胸部发病率和死亡率 (TM&M) 系统对术后并发症进行分类,并通过RAP预测器进行亚组分析.
主要成果:
- 37名儿科患者接受了VATS主要肺切除;56.7%有呼吸道症状,38.9%有活跃感染,59.5%有感染史 (RAP亚群).
- 总体观察到的并发症率 (ObsR) 为45.94%,明显高于平均预测风险 (PredR) 的4.43%.
- ObsR显示出与RAP的积极关联,特别是"呼吸道症状",风险计算器低估了VATS的发病率.
结论:
- 儿科手术风险计算器低估了VATS主要肺切除的发病率.
- 呼吸道症状和感染 (RAP) 与儿科VATS中观察到的并发症增加有关.
- 需要进一步的多中心研究来澄清炎症和手术不良事件之间的相关性.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
09:54Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
相关概念视频
Pneumothorax-II
Clinical Manifestations:
Pulmonary Cycle: Exhalation
Endoscopic Studies II: Thoracocentesis
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...
Endoscopic Studies I: 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...
Other Pulmonary Disorders
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD: