Impact of pleural reconstruction on postoperative outcomes in rib tumor resection: a decade-long retrospective study.

IF 1.6 4区 医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1473791
Hao Xie, Bowen Li, Yixin Sun, Lin Ma, Qiang Zhang
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Abstract

Objective: This study aims to evaluate the effects of pleural reconstruction during rib compartment tumor resection surgery on postoperative outcomes, including drainage volume, drainage duration, hospital stay, complications, and pain control.

Methods: A retrospective analysis was conducted on 142 patients who underwent rib compartment tumor resection surgery at Beijing Jishuitan Hospital from January 2013 to October 2023. The patients were divided into two groups: those who received pleural reconstruction and those who did not. Data were collected from hospital medical records and outpatient care records, focusing on postoperative drainage volume, total drainage time, length of hospital stay, complications, and pain scores. Continuous variables were compared using t-tests or nonparametric tests, while categorical variables were analyzed using chi-square tests or Fisher's exact tests.

Results: The analysis showed no significant differences between the two groups in terms of postoperative complications and pain thresholds. However, patients who underwent pleural reconstruction had significantly lower postoperative drainage volume (937.74 ± 855.97 vs. 1,595.26 ± 1,054.50 ml, p < 0.05), shorter drainage duration (5.5 ± 2.39 vs. 8.43 ± 2.87 days, p < 0.05), and reduced length of hospital stay (7.32 ± 3.30 vs. 10.99 ± 6.83 days, p < 0.05).

Conclusion: Pleural reconstruction during rib compartment tumor resection surgery reduces postoperative drainage volume, drainage duration, and hospital stay without increasing complications or short-term pain. Further large-scale studies are recommended to validate these findings.

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胸膜重建对肋骨肿瘤切除术后效果的影响:一项长达十年的回顾性研究。
目的:本研究旨在评估肋室肿瘤切除手术中胸膜重建对术后结果的影响,包括引流量、引流时间、住院时间、并发症和疼痛控制:本研究旨在评估肋室肿瘤切除术中胸膜重建对术后效果的影响,包括引流量、引流时间、住院时间、并发症和疼痛控制:方法:对 2013 年 1 月至 2023 年 10 月期间在北京积水潭医院接受肋室肿瘤切除手术的 142 例患者进行回顾性分析。患者分为两组:接受胸膜重建和未接受胸膜重建。数据来源于住院病历和门诊病历,主要包括术后引流量、总引流时间、住院时间、并发症和疼痛评分。连续变量的比较采用 t 检验或非参数检验,分类变量的分析采用卡方检验或费雪精确检验:分析结果显示,两组患者在术后并发症和疼痛阈值方面无明显差异。然而,接受胸膜重建术的患者术后引流量明显较低(937.74 ± 855.97 vs. 1,595.26 ± 1,054.50 ml,p p p 结论:胸膜重建术的患者术后引流量明显较低(937.74 ± 855.97 vs. 1,595.26 ± 1,054.50 ml,p p p):肋室肿瘤切除手术中的胸膜重建可减少术后引流量、引流时间和住院时间,而不会增加并发症或短期疼痛。建议进一步开展大规模研究,以验证这些发现。
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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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