手术后的第1天分片切除术的排泄,使用在手术当天取出排水后的最少侵入性方法
Hitoshi Igai1, Akinobu Ida1, Kazuki Numajiri1
1Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Japan.
Journal of thoracic disease
|February 20, 2025
概括
在微创细分切除术后,在手术当天 (DOS) 提前切除胸部排水,可以让一些患者在同一天出院. 这种方法显示了早期患者康复和出院的可行性.
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:
- 通过微创手术 (MIA) 的细分切除术可以促进早期出院.
- 管理跨细分平面中的空气泄漏是早期排水的挑战.
研究的目的:
- 评估MIA细分切除术后在同一天清除排水和术后第1天 (POD1) 排泄的可行性.
- 确定与早期排水和POD1排放相关的因素.
主要方法:
- 对90名接受MIA细分切除术的患者进行了回顾性研究.
- 在DOS时与DOS后排水移除患者之间的结局比较.
- 多变量分析以确定早期排水和POD1排放的因素.
主要成果:
- 在74.4%的患者中,在DOS上发生了排水去除.
- 在DOS上进行排水移除的患者住院时间较短 (P<0.001).
- 在1秒内强制呼气量增加 (FEV1.0%) 与DOS上排水量增加有关 (P=0.03).
- 首席外科医生的手术与POD1排放有关 (P=0.02).
结论:
- 在MIA细分切除术后的手术后的第1天排泄,并在同一天清除排水是可行的.
- 需要进一步优化,因为53.7%的同一天排水的患者在POD2或更晚的时间出院.
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