非插管与插管电视辅助胸腔镜肺大疱切除术的比较：一项回顾性队列研究。

Non-intubated vs. intubated video-assisted thoracoscopic bullectomy - a retrospective cohort study.

机构信息

Kuala Lumpur General Hospital, Department of General Surgery, Thoracic Surgery Unit, Kuala Lumpur, Malaysia.

Kuala Lumpur General Hospital, Department of Anaesthesia, Kuala Lumpur, Malaysia.

出版信息

Med J Malaysia. 2023 Sep;78(5):570-573.

PMID:37775481

Abstract

INTRODUCTION

Thoracic surgery procedures evolved enormously over time from open surgery to video assisted thoracoscopic surgery (VATS) and now non-intubated uniportal VATS. At our centre, the initial approach for bullectomy was by uniportal intubated VATS (iVATS) for most cases. Only in mid-2020, in the midst of COVID-19 pandemic, uniportal non-intubated VATS (NiVATS) took precedence. We compared the outcome of bullectomy via iVATS versus NiVATS for a period of 5 years.

MATERIALS AND METHODS

We reviewed the medical records of all patients that underwent bullectomy from 1st June 2017 to 31st May 2022. Mann Whitney U-test was completed for all variables. Primary objective was to compare operating time (OT), global operating time (GOT), post-operative length of stay (LOS) and complication rate.

RESULTS

A total of 90 bullectomies performed in which 36 were approached via iVATS and 54 NiVATS. It was found that the post-operative LOS, GOT, and OT were significantly shorter in the NiVATS as compared to iVATS. Complication rate between both groups showed no significant difference.

CONCLUSION

NiVATS bullectomy demonstrated a safe and reliable alternative surgical approach with superior surgical outcome than iVATS bullectomy.

摘要

引言

胸腔外科手术技术随着时间的推移经历了巨大的发展，从开胸手术到电视辅助胸腔镜手术（VATS），现在是非插管单端口 VATS。在我们中心，对于肺大疱切除术的初始方法是对大多数病例进行单端口插管 VATS（iVATS）。直到 2020 年年中，在 COVID-19 大流行期间，非插管单端口 VATS（NiVATS）才优先考虑。我们比较了 iVATS 与 NiVATS 治疗肺大疱的 5 年结果。