Guo Rui, Zhai Yunpeng, Zhao Huashan, Shen Gang, Huang Sai, Lv Longfei, Song Honghao, Zhang Shisong
Department of Thoracic and Tumor Surgery, Children's Hospital Affiliated to Shandong University, Jinan, Shandong, 250022, China.
Department of Thoracic and Tumor Surgery, Jinan Children's Hospital, Jinan, Shandong, 250022, China.
BMC Pediatr. 2025 Jun 2;25(1):446. doi: 10.1186/s12887-025-05806-2.
To compare the clinical outcomes of "Single Surgeon" and "Single Site" total thoracoscopic surgery with multi-portal video-assisted thoracic surgery (M-VATS) in the treatment of paediatric extralobar sequestration (ELS), and to evaluate its safety and feasibility in routine practice.
We retrospectively analysed 51 paediatric ELS cases treated thoracoscopically at our institution from January 2020 to March 2025. Patients were grouped by surgical approach: 18 underwent single-site thoracoscopy, and 33 underwent M-VATS. Clinical parameters were compared between groups.
Compared to M-VATS, the single-site group showed significantly reduced operative time (P = 0.02), blood loss (P < 0.01), hospital stay (P < 0.01), and expenses (P < 0.01). No bronchopleural fistulas, postoperative pneumonia, or conversions to open surgery occurred in either group.
"Single Surgeon" and "Single Site" thoracoscopic surgery offers distinct advantages, including minimized incisions, faster recovery, and reduced resource consumption, aligning with modern minimally invasive and enhanced recovery practices. The technique demonstrates safety, efficiency, and cost-effectiveness, supporting its broader clinical adoption.
比较“单术者”和“单切口”全胸腔镜手术与多切口电视辅助胸腔镜手术（M-VATS）治疗小儿肺叶外型隔离症（ELS）的临床疗效，并评估其在常规实践中的安全性和可行性。
我们回顾性分析了2020年1月至2025年3月在我院接受胸腔镜治疗的51例小儿ELS病例。根据手术方式对患者进行分组：18例行单切口胸腔镜手术，33例行M-VATS。比较两组的临床参数。
与M-VATS相比，单切口组的手术时间（P = 0.02）、失血量（P < 0.01）、住院时间（P < 0.01）和费用（P < 0.01）均显著减少。两组均未发生支气管胸膜瘘、术后肺炎或转为开胸手术。
“单术者”和“单切口”胸腔镜手术具有明显优势，包括切口最小化、恢复更快和资源消耗减少，符合现代微创和加速康复理念。该技术显示出安全性、有效性和成本效益，支持其更广泛的临床应用。
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