价值试验:第一阶段安全性和可行性研究,视频辅助胸腔镜手术肺切除术后在同一天出院
Lyndon C Walsh1, Merav Rokah2, Joseph Seitlinger2
1Division of Thoracic and Upper Gastrointestinal Surgery, McGill University, Montréal, Québec, Canada; Research Institute of the McGill University Health Centre, McGill University, Montréal, Québec, Canada.
The Journal of thoracic and cardiovascular surgery
|August 8, 2025
概括
视频辅助胸腔镜手术肺切除术后的当天出院对于某些患者来说是安全的和可行的. 这种方法利用手术后增强恢复协议,显示出有希望的结果,副作用最小,生活质量可比.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 最少侵入性手术的方法
背景情况:
- 手术后增强恢复 (ERAS) 计划在胸部手术中越来越多地被采用.
- 肺切除后同日出院的前性研究有限.
- 视频辅助胸腔镜手术 (VATS) 是一种关键的微创手术技术.
研究的目的:
- 评估VATS肺切除后在同一天出院的安全性和可行性.
- 评估同一天出院的患者的临床结果和生活质量.
主要方法:
- 第1期注册试验 (NCT05583916) 涉及为肺癌接受VATS解剖或切除的患者.
- 术前教育,然后在同一天通过便携式胸部排水系统出院.
- 出院后的评估,在1-3天内切除胸腔管.
- 通过验证的问卷来评估生活质量.
主要成果:
- 95%的患者 (18/19) 在VATS肺切除后在同一天获得出院.
- 胸管的平均持续时间为2天,其中包括一次急诊室的访问.
- 发生了两起长期空气泄漏 (2级) 的病例;没有严重的不良事件 (3-5级).
- 生活质量结果与标准护理队列相似.
结论:
- 经过VATS肺切除后的当天出院对于精心挑选的患者来说是一个安全和可行的选择.
- 这一策略与ERAS原则一致,可以应用于解剖和非解剖切除.
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