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醒视频胸腔镜解剖肺切除非小细胞肺癌在胸部准脊椎阻塞下:临床经验

Uğur Temel¹, Onur Derdiyok¹, Mehmet Oğuzhan Özyurtkan²

¹Department of Thoracic Surgery, Hamidiye Etfal Training and Research Hospital, Kazım Karabekir Paşa, Bahçeköy Cd., Sarıyer, İstanbul, 34453, Turkey.

|July 3, 2025

概括

醒着的视频辅助胸腔镜手术 (VATS) 对于非小细胞肺癌 (NSCLC) 使用胸部准脊椎阻断 (TPB) 是安全有效的. 与其他区域麻醉方法相比,这种方法可以减少手术时间和住院时间.

科学领域:

胸部外科手术胸部外科手术
在瘤学瘤学.
麻醉学麻醉学

背景情况:

报告手术经验与清醒视频辅助胸腔镜手术 (VATS) 解剖肺切除.
专注于患有非小细胞肺癌 (NSCLC) 的患者,在胸部副脊椎阻塞 (TPB) 下.

研究的目的:

评估使用TPB.使用NSCLC的清醒双门VATS解剖切除的安全性和有效性.
将结果与现有文献数据进行比较.

主要方法:

追溯性,单中心研究的患者接受醒着双门VATS解剖肺切除NSCLC在TPB.
被纳入的患者是自愿参与者或被认为具有全身麻醉高风险的患者.
结果与文献数据进行了比较.

主要成果:

29名患者 (20名高风险,9名低风险) 接受了25次脑膜切除术和4次细分切除术.
平均手术时间为110±15分钟.
发病率为6.78%,平均胸腔管持续时间为2.2±1.5天,平均住院时间为3.4±1.2天.

结论:

对NSCLC的双门VATS解剖肺切除可以在清醒患者的TPB下安全地进行.
与胸外麻醉 (TEA) 和肋间间神经阻塞相比,TPB可能会导致更短的手术时间和住院时间.

关键词:

肺癌是一种肺癌.没有输入管的非输入管.副脊椎阻塞副脊椎阻塞视频辅助胸腔镜外科手术

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