Analysis of clinical outcomes and prognosis of patients with early bronchogenic lung cancer after treatment of rigid bronchoscopy combining fiberoptic bronchoscopy: a single-center retrospective study.

Expert review of medical devices Pub Date : 2024-03-01 Epub Date: 2024-01-04 DOI:10.1080/17434440.2023.2298711
Zhengbing He, Juhua Hou, Yong Li, Yu Li, Wei Zeng, Wenguang Liu
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Abstract

Objectives: To investigate the clinical value of rigid bronchoscopy combined with fiberoptic bronchoscopy in patients with early bronchogenic lung cancer who underwent sleeve lobectomy.

Methods: A retrospective study was performed on 76 patients with early bronchogenic lung cancer admitted to our center from March 2016 to March 2017. Patients in the control group received conventional sleeve lobectomy (n = 38), while patients in the observation group underwent sleeve lobectomy by using rigid bronchoscopy combining fiberoptic bronchoscopy (n = 38). We compared perioperative period indicators and the recovery of pulmonary function indexes one month after the operation were compared in two groups. The prognosis of the patients were also analyzed.

Results: Compared with the control group, the intraoperative blood loss, operation duration and airway reconstruction duration in the observation group were significantly reduced. The total incidence of perioperative complications was markedly lower in the observation group than in the control group. The percentage of DLCO% was significantly improved in the observation group. The relapse-free survival (RFS) in the observation group was remarkably longer than in the control group.

Conclusion: Rigid bronchoscopy combined with fiberoptic bronchoscopy is beneficial to improve the clinical outcome and prognosis of patients with early bronchogenic lung cancer more effectively.

分析早期支气管肺癌患者接受硬质支气管镜和纤维支气管镜联合治疗后的临床疗效和预后:一项单中心回顾性研究。
目的探讨硬质支气管镜联合纤维支气管镜在接受袖状肺叶切除术的早期支气管肺癌患者中的临床价值:对本中心2016年3月至2017年3月收治的76例早期支气管肺癌患者进行回顾性研究。对照组患者接受常规袖带肺叶切除术(n = 38),观察组患者通过使用硬质支气管镜结合纤维支气管镜进行袖带肺叶切除术(n = 38)。我们比较了两组患者的围手术期指标和术后一个月肺功能指标的恢复情况。同时还对患者的预后进行了分析:结果:与对照组相比,观察组术中失血量、手术时间和气道重建时间明显减少。观察组围手术期并发症的总发生率明显低于对照组。观察组的 DLCO% 百分比明显提高。观察组的无复发生存期(RFS)明显长于对照组:刚性支气管镜联合纤维支气管镜有利于更有效地改善早期支气管肺癌患者的临床疗效和预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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