电视辅助胸腔镜手术与有限腋下小切口手术治疗自发性气胸的比较：一项横断面研究。

Comparison of VATS and limited axillary thoracotomy in the treatment of spontaneous pneumothorax: A cross-sectional study.

机构信息

Department of Thoracic Surgery, Canakkale Onsekiz Mart University, Canakkale Turkey.

出版信息

J Pak Med Assoc. 2021 Apr;71(4):1107-1112. doi: 10.47391/JPMA.821.

DOI:10.47391/JPMA.821

PMID:34125752

Abstract

OBJECTIVE

To compare the results of conventional mini axillary thoracotomy with video-assisted thoracic surgery in the treatment of spontaneous pneumothorax.

METHODS

The retrospective study was conducted at Izmit Seka State Hospital, Kocaeli, Turkey, and Canakkale Onsekiz Mart University Teaching Hospital, Çanakkale, Turkey, and comprised data from November 2011 to May 2019 of patients who underwent surgery for spontaneous pneumothorax either with video-assisted thoracic surgery, who were placed in Group A, or axillary thoracotomy, who were placed in Group B. Data gathered related to age, gender, operation side, smoking status, postoperative hospital stay, recurrence rates, and postoperative complications. Data was analysed using SPSS 25.

RESULTS

Of the 75 patients, 60(80%) were male and 15(20%) were female. The overall mean age was 29.37±11.60 years. Group A had 41(54.7%) patients, while Group B had 34(45.3%). Postoperative recurrence was not encountered in any patient in Group B, while 2(5.4%) patients in Group A had a recurrence (p>0.05) who both continued smoking. Hospital stay was significantly higher in Group B (p<0.001).

CONCLUSIONS

Video-assisted thoracic surgery in the treatment of spontaneous pneumothorax was found to shorten hospital stay, and can be used more widely.

摘要

目的

比较传统小切口腋下剖胸术与电视辅助胸腔镜手术治疗自发性气胸的效果。

方法

该回顾性研究在土耳其科贾埃利省伊兹米特塞卡州立医院和恰纳卡莱 18 马拉蒂亚大学教学医院进行，纳入 2011 年 11 月至 2019 年 5 月期间因自发性气胸接受手术治疗的患者，其中接受电视辅助胸腔镜手术治疗的患者纳入 A 组，接受腋下剖胸术治疗的患者纳入 B 组。收集的资料包括年龄、性别、手术侧、吸烟状况、术后住院时间、复发率和术后并发症等。采用 SPSS 25 软件进行数据分析。

结果

75 例患者中，60 例（80%）为男性，15 例（20%）为女性；平均年龄为 29.37±11.60 岁。A 组 41 例（54.7%），B 组 34 例（45.3%）。B 组无患者术后复发，A 组 2 例（5.4%）患者复发（p>0.05），且均为继续吸烟患者。B 组患者的术后住院时间明显更长（p<0.001）。