Benefits and Radiological Preference Criteria of Hybrid-Video-Assisted Thoracic Surgery in the Treatment of Pancoast Tumor. A Comparative Study with Open Approaches.

IF 1.1 4区 医学 Q3 SURGERY
Melike Ülker, Volkan Erdoğu, Merve Ekinci Fidan, Celal Buğra Sezen, Ayşegül Çiftçi, Ece Yasemin Demirkol, Abdul Samed Alp, Reşit Akyel, Özgür İşgörücü, Muzaffer Metin
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引用次数: 0

Abstract

Background: We tried to demonstrate the use and benefits of hybrid-video-assisted thoracic surgery (VATS) in Pancoast tumors by comparing it with open surgical approaches. Methods: Between January 2022 and January 2024, 29 patients operated for Pancoast tumor were retrospectively evaluated. Hybrid-VATS approach was used in 14 cases, while open surgery was used in 15 cases. The two groups were compared regarding demographic characteristics, preoperative and postoperative findings. Preoperative thoracic computed tomography findings were analyzed by an experienced radiologist to guide the choice of surgical approach. Results: The hybrid-VATS technique was statistically significantly superior to the thoracotomy group in terms of operative time and preoperative bleeding amount (P: .027, .012, respectively). There were statistically significantly fewer postoperative complications in the hybrid-VATS group (66.6% versus 21.4%, P:. 04). In preoperative thorax CT evaluation, the longest distance (>77 mm) at which the tumor invaded the chest wall was found to be statistically predictive in the choice of surgical approach (odds ratio: 7.3, P:. 01). Conclusions: Hybrid-VATS can be used in Pancoast tumor surgery in experienced centers with shorter operation time, less preoperative bleeding, and low postoperative complication rates compared with open surgery without compromising oncological principles. Preoperative thoracic CT may guide the choice of surgical approach.

混合影像辅助胸外科手术治疗Pancoast肿瘤的益处和放射学偏好标准。开放方法的比较研究。
背景:我们试图通过比较混合视频辅助胸外科手术(VATS)与开放手术入路在Pancoast肿瘤中的应用和益处。方法:对2022年1月至2024年1月29例手术治疗的Pancoast肿瘤患者进行回顾性分析。混合vats入路14例,开放手术15例。比较两组患者的人口学特征、术前和术后结果。术前胸部计算机断层扫描结果由一位经验丰富的放射科医生分析,以指导手术入路的选择。结果:混合vats技术在手术时间和术前出血量方面优于开胸组,差异有统计学意义(P值分别为0.027、0.012)。混合vats组术后并发症明显减少(66.6% vs . 21.4%, P:。04)。在术前胸部CT评估中,发现肿瘤侵袭胸壁的最远距离(bbb77 mm)对手术入路的选择具有统计学预测意义(优势比:7.3,P:。01)。结论:在经验丰富的中心,混合vats可用于Pancoast肿瘤手术,与开放手术相比,手术时间短,术前出血少,术后并发症发生率低,且不影响肿瘤学原则。术前胸部CT可指导手术入路的选择。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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