Furák József, Barta Zsanett, Lantos Judit, Németh Tibor, Pécsy Balázs, Buzás András, Vas Márton, Fabó Csongor, Szabó Zsolt, Rieth Anna, Lázár György
1 Szegedi Tudományegyetem Szent-Györgyi Albert Orvostudományi Kar, Sebészeti Klinika, Szeged, Magyarország (tanszékvezető: Prof. Dr. Lázár György).
2 Bács-Kiskun Megyei Kórház, Neurológiai és Stroke Osztály, Kecskemét, Magyarország (osztályvezető: Prof. Dr. Bihari Katalin).
Magy Seb. 2022 Jun 20;75(2):117-120. doi: 10.1556/1046.2022.20005.
Introduction. Non-intubated spontaneous ventilated (NITS) minimally invasive surgery (video-assisted thoracic surgery VATS) is a widespread procedure, but there are some doubts regarding its safety. We developed a safe method, spontaneous ventilation with intubation (SVI) to resolve these concerns. In this study, the early postoperative results of the SVI sublobar resections are presented. Methods. Between 2020 May 25 and 2021 March 26, 20 SVI VATS sublobar resection was performed with a double lumen intratracheal tube. Results. Surgeries were performed for 9 females and 11 males with a mean age of 66.1. The mean BMI was 27.8, FEV1 was 89.1%, and Carlson Comorbidity score was 6.1. The mean surgical time was 61.5 min, drainage time was 1.85 days and hospital stay was 3.35 days. Morbidity was found to be 5%. Primer lung cancer was removed in 9 cases, we performed 6 metastasectomies and in 5 cases benign lesion was removed. Conclusion. According to the early postoperative results spontaneous ventilated VATS sublobar resections with double lumen intratracheal tube can be considered a safe thoracic surgical method.
引言。非插管自主通气（NITS）微创手术（电视辅助胸腔镜手术VATS）是一种广泛应用的手术方式，但对其安全性存在一些疑虑。我们开发了一种安全的方法，即插管自主通气（SVI）来解决这些问题。在本研究中，展示了SVI亚肺叶切除术后的早期结果。方法。在2020年5月25日至2021年3月26日期间，使用双腔气管导管进行了20例SVI VATS亚肺叶切除术。结果。手术对象为9名女性和11名男性，平均年龄66.1岁。平均体重指数为27.8，第一秒用力呼气容积（FEV1）为89.1%，卡尔森合并症评分6.1。平均手术时间为61.5分钟，引流时间为1.85天,住院时间为3.35天。发现发病率为5%。9例切除原发性肺癌，6例进行了转移灶切除术，5例切除良性病变。结论。根据术后早期结果，使用双腔气管导管进行自主通气的VATS亚肺叶切除术可被认为是一种安全的胸外科手术方法。
