从视频辅助胸腔镜手术 (VATS) 转换为传统的开放方法的预测器
Mohamed Elshalkamy1,2, Sameh Ibrahim Elsayed1, Amr Abdellateef1
1Cardiothoracic and Vascular Surgery Center, Mansoura University Hospitals, Mansoura City, Egypt.
Asian cardiovascular & thoracic annals
|December 19, 2025
概括
在视频辅助胸腔镜手术期间转换为开放胸切除术很少见,发生在3.13%的病例中. 解剖学挑战和血管损伤是胸部手术转换的主要原因.
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
- 外科手术的结果
背景情况:
- 视频辅助胸腔镜手术 (VATS) 提供了诸如减少疼痛和缩短住院时间等好处.
- 转换为开放胸切除术有时是必要的,但其预测因素和影响仍在争论中.
研究的目的:
- 为了确定VATS开放胸切除术转换的预测因素和原因.
- 评估与VATS转换相关的临床结果.
主要方法:
- 对638名接受选择性胸部手术的成年患者进行了回顾性观察性研究.
- 对人口统计,并发病率和外科手术期间变量的分析.
- 后勤和处罚回归分析以确定转换预测因素.
主要成果:
- 对开放胸切除术的转换率为3.13% (20/638名患者).
- 转换的主要原因是解剖挑战 (50%) 和血管损伤 (45%).
- 解剖学上的困难和血管损伤是转换的独立预测因素.
结论:
- 解剖学挑战和血管损伤是VATS转换的关键预测因素.
- 虽然初步分析显示了与高血压和恶性瘤的联系,但在调整后,这些并没有显着意义.
- 了解转换预测器可以优化VATS程序.
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