探讨三维单孔胸腔镜手术在纵隔肿瘤切除人工气胸中的临床意义。

IF 0.9 4区 医学 Q3 SURGERY
Qingpeng Li, Bo Peng, Jiajun Pan, Yongyuan Li, Weimin Qian
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引用次数: 0

摘要

目的:分析比较单孔入路与双孔胸腔镜手术(VATS)在纵隔肿瘤切除术中的临床疗效和安全性。方法:本研究纳入2020年3月至2022年3月在徐州医科大学附属医院胸外科行VATS纵隔肿瘤切除术的62例患者。患者分为单孔VATS组27例和双孔VATS组35例。比较两组患者的临床特征(如年龄、性别、肿瘤大小、体重指数(BMI)、合并症、病理结果)、术后结局(如手术时间、术中出血、转开腹手术、引流量、拔管时间、住院时间)、术后并发症、疼痛评分。结果:两组手术时间、术中出血量、术后并发症发生率比较,差异均无统计学意义(p < 0.05)。单孔VATS组拔管时间和住院时间明显短于双孔VATS组(p < 0.05)。与双孔VATS组相比,单孔VATS组引流量减少(p < 0.05)。单孔VATS组术后第1天和第3天疼痛评分明显低于双孔VATS组(p < 0.05)。结论:与传统术式相比,三维单孔VATS纵隔肿瘤切除术是一种安全可行的治疗纵隔肿瘤的方法。此外,它显著减轻了术后疼痛,缩短了引流时间和引流量,缩短了拔管时间,促进了更快的恢复,缩短了住院时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating Clinical Significance of 3D Single-hole Thoracoscopy Surgery for Mediastinal Tumor Resection With Artificial Pneumothorax.

Aim: This study aims to analyze and compare the clinical efficacy and safety between single-hole approach and two-hole video-assisted thoracoscopic surgery (VATS) for mediastinal tumor resection.

Methods: This study included 62 patients who received VATS mediastinal tumor resection in the Thoracic Department of the Affiliated Hospital of Xuzhou Medical University, between March 2020 and March 2022. Patients were divided into a single-hole VATS group (27 cases) and a two-hole VATS group (35 cases). The two groups were compared for their clinical characteristics (such as age, gender, tumor size, body mass index (BMI), comorbidities, and pathological findings), postoperative outcomes (such as operation time, intraoperative bleeding, transfer to open surgery, drainage volume, extubating time, and hospital stay), postoperative complications, and pain score.

Results: There were no significant differences in operation time, introperative bleeding volume, and postoperative complication rates between the two groups (p > 0.05). However, extubating time and hospital stay were significantly shorter in the single-hole VATS group than the two-hole VATS group (p < 0.05). Moreover, drainage volume was decreased in the single-hole VATS group compared to the two-hole VATS group (p < 0.05). The pain score was significantly lower on days 1 and 3 post-surgery in the single-hole VATS group than in the two-hole VATS group (p < 0.05).

Conclusions: In conclusion, 3D single-hole VATS mediastinal tumor resection is a safe and feasible option for treating mediastinal tumors compared to the traditional approach. Furthermore, it significantly reduces postoperative pain, lowers drainage duration and volume, as well as extubating time, promotes faster recovery, and reduces hospital stays.

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来源期刊
CiteScore
0.90
自引率
12.50%
发文量
116
审稿时长
>12 weeks
期刊介绍: Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.
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