机器人胸外科术中鼻胃管：降低胃肠道风险，不增加呼吸风险。

IF 2.2 3区医学 Q2 SURGERY

Journal of Robotic Surgery Pub Date : 2025-06-23 DOI:10.1007/s11701-025-02458-3

Sara Volpi, Akshay Patel, Giulia Fabbri, Alex Smith, Federico Femia, George Christodoulides, Craig Johnstone, Tom Routledge, Andrea Bille

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引用次数: 0

摘要

胃肠（GI）并发症是胸外科术后患者发病的主要原因。机器人胸外科手术，与二氧化碳注入，可能会增加胃肠道风险，如肠梗阻或肠梗阻。术中使用鼻胃管（iNGT）有可能通过减少胃内容物和防止误吸来减轻这些风险。本回顾性研究评估了2017年至2022年718例机器人解剖肺切除术患者中iNGT对术后胃肠道和呼吸系统并发症的影响。患者分为iNGT组（n = 450）和非iNGT组（n = 268）。iNGT组的胃肠道并发症明显降低(1.8% vs. 10%, p

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Intraoperative nasogastric tube in robotic thoracic surgery: lower gastrointestinal risk without added respiratory risk.

Gastrointestinal (GI) complications are a leading cause of postoperative morbidity in thoracic surgery patients. Robotic thoracic surgery, with CO2 insufflation, may heighten GI risks, such as ileus or bowel obstruction. Intraoperative nasogastric tube (iNGT) use has the potential to mitigate these risks by reducing gastric content and preventing aspiration. This retrospective study evaluated the impact of iNGT on postoperative GI and respiratory complications in 718 patients undergoing robotic anatomical lung resections from 2017 to 2022. Patients were divided into iNGT (n = 450) and non-iNGT (n = 268) groups. GI complications were significantly lower in the iNGT group (1.8 vs. 10%, p < 0.0001), with an adjusted odds ratio of 5.85 for non-iNGT patients. No significant difference was observed in respiratory complications (19.3 vs. 18.6%, p = 0.82). These findings suggest that iNGT reduces GI complications without increasing respiratory risks, supporting its selective use in robotic thoracic surgery.

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来源期刊

Journal of Robotic Surgery SURGERY-

CiteScore

4.20

自引率

8.70%

发文量

145

期刊介绍： The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.