Early Clinical Outcomes of Thoracoscopic Major Pulmonary Resection and Thymectomy Using Novel Articulating Endoscopic Forceps.

Q4 Medicine
Journal of Chest Surgery Pub Date : 2024-07-05 Epub Date: 2024-03-13 DOI:10.5090/jcs.23.161
Sangil Yun, You Jung Ok, Se Jin Oh, Jae-Sung Choi, Hyeon Jong Moon, Yong Won Seong
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引用次数: 0

Abstract

Background: Video-assisted thoracoscopic surgery (VATS) is recognized as a safe and effective treatment modality for early-stage lung cancer and anterior mediastinal masses. Recently, novel articulating instruments have been developed and introduced to endoscopic surgery. Here, we share our early experiences with VATS major pulmonary resection and thymectomy performed using ArtiSential articulating instruments.

Methods: At the Seoul Metropolitan Government-Seoul National University Boramae Medical Center, 500 patients underwent VATS pulmonary resection between July 2020 and April 2023, while 43 patients underwent VATS thymectomy between January 2020 and April 2023. After exclusion, 224 patients were enrolled for VATS major pulmonary resection, and 38 were enrolled for VATS thymectomy. ArtiSential forceps were utilized in 35 of the 224 patients undergoing pulmonary resection and in 12 of the 38 individuals undergoing thymectomy. Early clinical outcomes were retrospectively analyzed.

Results: No significant differences were observed in sex, age, surgical approach, operation time, histological diagnosis, or additional procedures between the patients who underwent surgery using novel articulating instruments and the group treated with conventional endoscopic instruments for both VATS major pulmonary resection and thymectomy. However, the use of the novel articulating endoscopic forceps was associated with a significantly larger number of dissected lymph nodes (p=0.028) and lower estimated blood loss (p=0.009) in VATS major pulmonary resection.

Conclusion: Major pulmonary resection and thymectomy via VATS using ArtiSential forceps were found to be safe and effective, with early clinical outcomes comparable to established methods. Further research into long-term clinical outcomes and cost-effectiveness is warranted.

使用新型铰接式内窥镜镊子进行胸腔镜肺大肌切除术和胸腺切除术的早期临床效果。
背景:视频辅助胸腔镜手术(VATS视频辅助胸腔镜手术(VATS)是公认的治疗早期肺癌和前纵隔肿块的安全有效的方法。最近,新型铰接式器械被开发并引入内窥镜手术。在此,我们分享使用 ArtiSential 衔接器械进行 VATS 肺大部切除术和胸腺切除术的早期经验:方法:2020 年 7 月至 2023 年 4 月期间,首尔市政府-首尔国立大学 Boramae 医疗中心的 500 名患者接受了 VATS 肺切除术,2020 年 1 月至 2023 年 4 月期间,43 名患者接受了 VATS 胸腺切除术。经排除后,224 名患者接受了 VATS 肺大部切除术,38 名患者接受了 VATS 胸腺切除术。在 224 名接受肺切除术的患者中,有 35 人使用了 ArtiSential 钳;在 38 名接受胸腺切除术的患者中,有 12 人使用了 ArtiSential 钳。对早期临床结果进行了回顾性分析:结果:使用新型铰接器械进行 VATS 肺大部切除术和胸腺切除术的患者与使用传统内窥镜器械进行手术的患者在性别、年龄、手术方式、手术时间、组织学诊断或附加手术方面均无明显差异。然而,在VATS肺大部切除术中,使用新型铰接式内窥镜镊子可显著增加切除淋巴结的数量(p=0.028),降低估计失血量(p=0.009):结论:使用ArtiSential镊子通过VATS进行肺大部切除术和胸腺切除术是安全有效的,其早期临床效果与既有方法相当。有必要对长期临床效果和成本效益进行进一步研究。
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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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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