电视胸腔镜支气管囊肿切除术患者的预后因素和长期结果。

Prognostic Factors and Long-Term Results in Patients Who Underwent Videothoracoscopic Bronchogenic Cyst Excision.

机构信息

Department of Thoracic Surgery, University of Health Sciences Turkey, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.

出版信息

Ann Thorac Cardiovasc Surg. 2021 Aug 20;27(4):225-229. doi: 10.5761/atcs.oa.20-00244. Epub 2020 Nov 19.

DOI:10.5761/atcs.oa.20-00244

PMID:33208591

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8374095/

Abstract

BACKGROUND

Our aim in this study was to compare the results of video-assisted thoracoscopic surgery with those of open surgery regarding efficacy, morbidity, and long-term recurrence of bronchogenic cysts in light of the literature.

METHODS

This study comprises the data of 51 patients whose pathological diagnosis revealed bronchogenic cyst after surgical excision between January 2010 and December 2016. There were two groups according to the type of resection: video-assisted thoracoscopic surgery (VATS) and thoracotomy.

RESULTS

Of the patients included in the study, 25 (49%) were male and 26 (51%) were female. Their average age was 41.7 ± 14.1 years. While 14 patients (27.5%) were asymptomatic in the preoperative period, 37 patients (72.5%) had symptoms. The Charlson Comorbidity Index was 0 in 35 patients (68.6%) and 1 and above in 16 patients (31.4%). While 22 (43.1%) patients underwent cyst excision via VATS, 29 (56.9%) patients underwent thoracotomy. The average length of hospital stay was 1.77 ± 0.68 days for patients who had VATS, whereas it was 3.82 ± 3.3 days for patients who had thoracotomy (p <0.001).

CONCLUSION

VATS procedure is a safe method in the surgical treatment of bronchogenic cysts, with less hospitalization and similar recurrence rates.

摘要

背景

本研究旨在结合文献，比较胸腔镜辅助手术与开胸手术在治疗支气管源性囊肿方面的疗效、发病率和长期复发率。

方法

本研究纳入了 2010 年 1 月至 2016 年 12 月期间因手术切除而病理诊断为支气管源性囊肿的 51 例患者的数据。根据切除方式的不同，将患者分为两组：胸腔镜辅助手术（VATS）组和开胸手术组。

结果

研究中，25 例（49%）患者为男性，26 例（51%）患者为女性。平均年龄为 41.7±14.1 岁。术前 14 例（27.5%）患者无症状，37 例（72.5%）患者有症状。Charlson 合并症指数为 0 的患者有 35 例（68.6%），1 及以上的患者有 16 例（31.4%）。22 例（43.1%）患者通过 VATS 进行囊肿切除术，29 例（56.9%）患者进行开胸手术。VATS 组患者的平均住院时间为 1.77±0.68 天，开胸手术组患者的平均住院时间为 3.82±3.3 天（p<0.001）。