相关实验视频

Updated: Sep 14, 2025

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

手术方法对早期术后空气泄漏的临床影响

Hikaru Watanabe¹, Satoshi Shiono², Hiroyuki Adachi³

¹Department of Surgery II, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan. hikaru.w.8585@gmail.com.

Scientific reports

|July 21, 2025

概括

与胸腔镜手术相比,用于肺切除的最小侵入性开放手术导致术后空气泄漏 (E-AL) 较少. 诸如男性性别和纤维素密封剂使用等因素也影响了E-AL发病率.

科学领域:

胸部外科手术胸部外科手术
最少侵入性手术的方法
肺切除术的结果

背景情况:

手术后空气泄漏 (E-AL) 是肺切除后的一个常见并发症.
手术方法可能会影响E-AL的发生率和持续时间.
了解风险因素对于优化患者的治疗结果至关重要.

研究的目的:

为了比较胸腔镜手术对E-AL的影响与微创性开放手术.
为了确定与肺切除后E-AL相关的独立因素.
评估外科手术对术后空气泄漏和排水持续时间的影响.

主要方法:

对多中心前性ILO1805试验数据的后期分析.
包括1168名接受了带有小切口 (≤8厘米) 的解剖肺切除的患者.
胸腔镜手术和微创开放手术组之间的比较,使用倾向性得分匹配进行平衡.
后勤回归模型用于识别与E-AL.相关的独立因素.

主要成果:

在24.8%的患者中发生了E-AL.
胸腔镜手术中的E-AL发病率较高 (33.8%) 与最小侵入性开放手术 (16.9%) 相比.
对于E-AL的独立风险因素包括男性性别,低BMI (<18.5 kg/m2),多叶膜粘结,胸腔镜手术和纤维素密封剂的使用.
最少侵入性开放手术组的空气泄漏和排水时间显著缩短.

结论:

与胸腔镜手术相比,微创性开放手术可能可以更好地控制E-AL.
在微创性开放手术中观察到空气泄漏和排水时间较短.
识别和管理风险因素,如男性性别,低BMI和多腺粘附,对于减少E-AL.重要.

关键词:

最少侵入性的开放性手术.在手术后出现空气泄漏.长时间的空气泄漏.风险因素风险因素风险因素胸腔镜外科手术胸腔镜外科手术

更多相关视频

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

相关概念视频

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Suctioning the Nasopharyngeal Airway

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required