视频辅助胸腔镜与双肺通风和CO2灌气在初级自发性肺胸部:倾向性得分匹配比较
Ying Jie Cui1, Wen Xue Piao1, Yong Chae Jung1
1Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
Journal of thoracic disease
|April 14, 2025
概括
双肺透气 (TLV) 与二氧化碳灌气是视频辅助胸腔镜手术 (VATS) 患者的单肺透气 (OLV) 的可行替代方案,可减少麻醉时间和住院时间,而不会增加复发风险.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 主要自发性肺胸 (PSP) 经常通过视频辅助胸腔镜手术 (VATS) 来治疗.
- 对于PSP的传统VATS使用单肺通风 (OLV),这可能导致呼吸道并发症.
- 双肺通风 (TLV) 与二氧化碳吸入提供了一个潜在的替代方案,以尽量减少这些并发症.
研究的目的:
- 评估与TLV和二氧化碳充气为PSP的VATS的可行性和结果.
- 将TLV与PSP患者的传统OLV方法进行比较.
主要方法:
- 在2020年7月至2023年12月期间接受VATS的181名PSP患者的回顾性分析.
- 倾向性得分匹配被用来比较56名接受TLV的患者和78名接受OLV的患者.
- 分析了人口统计,手术内和术后结果的数据.
主要成果:
- TLV组显示了显著更短的麻醉诱导和全麻醉时间.
- 在TLV组的患者经历了较少的胸管排水日和较短的术后住院时间.
- 两组之间没有观察到手术时间,复发率或需要腹切开的显著差异.
结论:
- 带有CO2灌气的TLV对于接受VATS的选定PSP患者来说是一个可行的和潜在的有益的方法.
- 这种方法可以减少麻醉的持续时间,而不会影响手术结果或增加复发风险.
- 在PSP管理中,TLV可能是VATS对OLV的合适替代方案.
相关概念视频
Endoscopic Studies II: Thoracocentesis
178
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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...
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...
178
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
202
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
202
Pneumothorax-II
107
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
107
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
146
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: 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...
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...
146
Mechanical Ventilation II: Invasive Ventilation
73
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
73
Oxygen Delivering System III: Tracheostomy and T-piece
245
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
245


