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硬膜外和/或局部麻醉下胸腔镜手术治疗自发性气胸的可行性和安全性：一项荟萃分析

The feasibility and safety of thoracoscopic surgery under epidural and/or local anesthesia for spontaneous pneumothorax: a meta-analysis.

作者信息

Chen Wei, Zhang Chenlei, Wang Gebang, Li Zhengjun, Wang Hailong, Liu Hongxu

机构信息

Department of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, Liaoning Province, China.

Department of Thoracic Surgery, Chest Hospital of Shenyang, Shenyang, Liaoning Province, China.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2017 Sep;12(3):216-224. doi: 10.5114/wiitm.2017.68895. Epub 2017 Jul 17.

DOI:10.5114/wiitm.2017.68895
PMID:29062440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5649503/
Abstract

The aim of this study was to compare thoracoscopic surgery for spontaneous pneumothorax under epidural and/or local anesthesia (ELA) with that under general anesthesia and prove the feasibility and safety of thoracoscopic surgery under ELA for spontaneous pneumothorax. Relevant studies were searched in five databases from their date of publication to June 2016. We collected and analyzed the data concerning operative time, hospital stay, complications, air leak, recurrence and perioperative mortality. A forest plot was performed to compare the differences between the two groups. There were no significant differences between the ELA group and the general anesthesia (GA) group in operative time, hospital stay, complications, air leak or recurrence. There were 6 deaths reported in two studies. However, patients in the ELA group had significantly shorter global operating room time. Our study demonstrated that ELA, in comparison with GA, is feasible and safe for thoracoscopic surgery of spontaneous pneumothorax.

摘要

本研究旨在比较硬膜外和/或局部麻醉（ELA）下与全身麻醉下胸腔镜手术治疗自发性气胸的效果，并证明ELA下胸腔镜手术治疗自发性气胸的可行性和安全性。从五个数据库自其发表之日至2016年6月检索相关研究。我们收集并分析了有关手术时间、住院时间、并发症、漏气、复发和围手术期死亡率的数据。绘制森林图以比较两组之间的差异。ELA组与全身麻醉（GA）组在手术时间、住院时间、并发症、漏气或复发方面无显著差异。两项研究共报告6例死亡。然而，ELA组患者的整体手术室时间明显较短。我们的研究表明，与GA相比，ELA用于自发性气胸的胸腔镜手术是可行且安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/ede93223c059/WIITM-12-30286-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/0f9d62291197/WIITM-12-30286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/990189b9f635/WIITM-12-30286-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/3df6ef0ec116/WIITM-12-30286-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/a26d08e07686/WIITM-12-30286-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/842242dc0a66/WIITM-12-30286-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/9fc7a32930c3/WIITM-12-30286-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/fa8e795e7aaa/WIITM-12-30286-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/ede93223c059/WIITM-12-30286-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/0f9d62291197/WIITM-12-30286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/990189b9f635/WIITM-12-30286-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/3df6ef0ec116/WIITM-12-30286-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/a26d08e07686/WIITM-12-30286-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/842242dc0a66/WIITM-12-30286-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/9fc7a32930c3/WIITM-12-30286-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/fa8e795e7aaa/WIITM-12-30286-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d8/5649503/ede93223c059/WIITM-12-30286-g008.jpg

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