Kuala Lumpur General Hospital, Department of General Surgery, Thoracic Surgery Unit, Kuala Lumpur, Malaysia.
Kuala Lumpur General Hospital, Department of Anaesthesia, Kuala Lumpur, Malaysia.
Med J Malaysia. 2023 Sep;78(5):570-573.
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.
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.
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.
NiVATS bullectomy demonstrated a safe and reliable alternative surgical approach with superior surgical outcome than iVATS bullectomy.
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。
我们回顾了 2017 年 6 月 1 日至 2022 年 5 月 31 日期间接受肺大疱切除术的所有患者的病历。对所有变量均完成了曼-惠特尼 U 检验。主要目的是比较手术时间（OT）、总手术时间（GOT）、术后住院时间（LOS）和并发症发生率。
共进行了 90 例肺大疱切除术，其中 36 例采用 iVATS 入路，54 例采用 NiVATS 入路。结果发现，与 iVATS 相比，NiVATS 的术后 LOS、GOT 和 OT 明显缩短。两组的并发症发生率无显著差异。
NiVATS 肺大疱切除术是一种安全可靠的替代手术方法，其手术结果优于 iVATS 肺大疱切除术。
