Wang Guowen, Ji Xiang, Yao Chunyu, Jiang Yiyao, Wang Lin, Li Chuankui, Tao Tao, Li Qicai, Yang Yifan, Li Lixiang, Kim Jae Jun, Kocher Gregor J, Carretta Angelo, Lampridis Savvas, Tasoudis Panagiotis T, Wang Zuyi, Pan Huaguang, Fang Hanlin, Zhang Renquan
Department of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Department of Graduate Studies, Bengbu Medical University, Bengbu, China.
J Thorac Dis. 2024 May 31;16(5):3317-3324. doi: 10.21037/jtd-24-602. Epub 2024 May 29.
Open thoracotomy has been the traditional surgical approach for patients with bronchogenic cysts (BCs). This study aimed to evaluate the safety and efficacy of video-assisted thoracoscopic surgery (VATS) compared to open surgery for the treatment of BCs in adults.
This single-institution, retrospective cohort study included 117 consecutive adult patients who underwent VATS (group A) or open surgery (group B) for BC resection between February 2019 and January 2023. Data regarding clinical history, operation duration, length of hospital stay, 30-day mortality, and recurrence during follow-up were collected and analyzed.
Of the total cohort, 103 (88.0%) patients underwent VATS, while 14 (12.0%) patients underwent open surgery. Patients' age in group B were much older than group A (P=0.014), and no significant differences in other demographic and baseline clinical characteristics were observed between the groups. The VATS group had shorter median operation duration (96 . 149.5 min, P<0.001) and shorter mean length of hospital stay (5.0±5.5 . 8.6±4.0 days, P<0.001). One death occurred in the open surgery group. During a median follow-up of 34 (interquartile range, 20.8-42.5) months, no instances of BC recurrence were observed in either group.
Compared to open surgery, VATS is also a safe and efficacious approach for treating BCs in adults. What's more, VATS offered shorter operative times and hospital stays. Considering the minimally invasive, VATS may be a better choice in most patients with bronchial cysts.
开胸手术一直是支气管囊肿（BCs）患者的传统手术方式。本研究旨在评估与开胸手术相比，电视辅助胸腔镜手术（VATS）治疗成人BCs的安全性和有效性。
这项单机构回顾性队列研究纳入了2019年2月至2023年1月期间连续接受VATS（A组）或开胸手术（B组）切除BCs的117例成年患者。收集并分析了有关临床病史、手术时间、住院时间、30天死亡率和随访期间复发情况的数据。
在整个队列中，103例（88.0%）患者接受了VATS，而14例（12.0%）患者接受了开胸手术。B组患者的年龄比A组大得多（P = 0.014），两组之间在其他人口统计学和基线临床特征方面未观察到显著差异。VATS组的中位手术时间较短（96.149.5分钟，P < 0.001），平均住院时间也较短（5.0±5.5.8.6±4.0天，P < 0.001）。开胸手术组发生1例死亡。在中位随访34（四分位间距，20.8 - 42.5）个月期间，两组均未观察到BC复发情况。
与开胸手术相比，VATS也是治疗成人BCs的一种安全有效的方法。此外，VATS的手术时间和住院时间更短。考虑到其微创性，VATS可能是大多数支气管囊肿患者的更好选择。
Zotero 插件
