Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis.

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Zhiwei Yan, Jian Feng, Xinyu Zhu, Ziqing Shen, Jun Zhao, Jinfeng Ge
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引用次数: 0

Abstract

Background: Surgical treatment is crucial in managing bronchiectasis. Segmentectomy, although a complex procedure, has become more feasible with advancements in thin-slice CT and three-dimensional imaging. These technologies enhance preoperative anatomical understanding and surgical planning. This study aims to demonstrate the viability of using three-dimensional imaging assistance for treating localized bronchiectasis through segmentectomy.

Methods: From 2021 to 2023, a total of 34 patients with bronchiectasis underwent segmentectomy. We collected and then analyzed potential factors including general conditions, preoperative clinical symptoms, surgical procedures, length of postoperative hospital stay, incidence of postoperative complications and postoperative follow-ups.

Results: Of the 34 surgical patients, 8 were men and 26 were women, resulting in a total of 34 operations. The average surgical time for segmentectomy was 157.7 ± 63.4 min. The average intraoperative blood loss was 115.9 ± 107.4 ml. Postoperative tube placement lasted an average of 6.5 ± 2.4 days, with an average drainage volume of 724.7 ± 500.9 ml. The average hospital stay was 8.2 ± 3.4 days. Among these patients, 2 developed pneumothorax and 2 experienced air leaks. Additionally, 4 patients developed pneumonia postoperatively. Over an average follow-up period of 14.3 months, most patients showed symptom improvement, with only two cases of recurrence.

Conclusions: Segmentectomy has acceptable postoperative morbidity, mortality, and outcomes. Therefore, segmentectomy is a viable option for the treatment of localized bronchiectasis.

三维影像辅助支气管段切除术治疗局限性支气管扩张:回顾性分析。
背景:手术治疗是治疗支气管扩张症的关键。节段切除术虽然是一项复杂的手术,但随着薄层CT和三维成像技术的进步,已经变得更加可行。这些技术提高了术前解剖学的理解和手术计划。本研究旨在证明使用三维成像辅助治疗局部支气管扩张通过节段切除术的可行性。方法:从2021年到2023年,共有34例支气管扩张患者接受了节段切除术。我们收集并分析包括一般情况、术前临床症状、手术方式、术后住院时间、术后并发症发生率及术后随访等潜在因素。结果:34例手术患者中,男性8例,女性26例,共手术34例。节段切除术平均手术时间157.7±63.4 min,平均术中出血量115.9±107.4 ml,术后平均置管时间6.5±2.4 d,平均引流量724.7±500.9 ml,平均住院时间8.2±3.4 d。其中2例发生气胸,2例发生漏气。此外,4例患者术后发生肺炎。平均随访14.3个月,大部分患者症状改善,仅有2例复发。结论:节段切除术具有可接受的术后发病率、死亡率和预后。因此,节段切除术是治疗局限性支气管扩张的可行选择。
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 Cardiothoracic Surgery
Journal of Cardiothoracic Surgery 医学-心血管系统
CiteScore
2.50
自引率
6.20%
发文量
286
审稿时长
4-8 weeks
期刊介绍: Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.
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