通过视频辅助胸部手术进行双边肺移植的安全性和可行性
Ji Hyeon Park1, Samina Park2,3, Seon Yong Bae1
1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Surgical endoscopy
|March 17, 2026
概括
双边肺移植的视频辅助胸部手术 (VATS) 比传统的贝切口更安全,并导致更好的肺功能. 这种不那么侵入性的方法减少了并发症,并改善了患者的治疗结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 移植医学 移植医学
- 最少侵入性的手术
背景情况:
- 贝切口是双边肺移植的标准,但导致显著的发病率,包括胸部并发症.
- 视频辅助胸部手术 (VATS) 是一种具有潜在好处的不那么侵入性的替代方案.
研究的目的:
- 评估双边肺移植中VATS方法的可行性和安全性.
- 为了比较VATS和贝切口之间的早期术后结果.
主要方法:
- 对136名双边肺移植患者 (2017年8月 - 2025年3月) 以体外膜氧化支持进行回顾性分析.
- 患者被分为贝 (n=105) 和VATS (n=31) 组.
- 术后结果,并发症和肺功能的比较.
主要成果:
- 增值税组的手术时间显著缩短,输血减少,输血减少.
- 部伤口并发症和呼吸道干预仅限于贝组.
- 在移植后1个月和12个月,VATS患者表现出优异的肺功能 (FEV1,FVC).
结论:
- VATS是双边肺移植的可行和安全方法.
- 与贝切口相比,VATS提供了较低的外科病率和改善的肺功能.
- 这种技术对于具有既定胸腔镜专业知识的中心来说是有利的.
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