Enhanced recovery after minimally invasive pneumonectomies in children.

IF 1.6 3区 医学 Q2 PEDIATRICS Pediatric Surgery International Pub Date : 2025-02-15 DOI:10.1007/s00383-025-05977-0
Shuai Li, Mijing Fang, Rui Yin, Yali Wang, Rong Chen, Chen Wang, Kang Li, Wenjia Shi, Shao-Tao Tang
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Abstract

Purpose: The study aimed to explore the feasibility and effect of pulmonary rehabilitation (PR) in the recovery of children who underwent thoracoscopic pulmonary resection.

Methods: From January 2015 to December 2021, consecutive patients who underwent thoracoscopic pulmonary resection were divided into group A and group B. All of them were treated with the same perioperative protocols except for group A with perioperative lung rehabilitation management, while group B was not. Demographics, operative data, postoperative complications and clinical outcomes were compared between these two groups.

Results: Sixty eight cases enrolled with 33 in group A and 35 in group B. Demographic data was comparable between the two groups, as well as the dose of tramadol and diclofenac sodium. Few patients in group A had temperature higher than 38℃ in the first 3 days after the surgery. The mean time of the first ambulation after the operation was shorter in group A than that in group B. The drainage time and the postoperative hospital stay were similar. No interventions needed for complications.

Conclusion: The application of perioperative PR in children who underwent thoracoscopic pulmonary resection is safe and feasible.

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提高儿童微创肺切除术后的恢复。
目的:探讨肺康复(PR)在儿童胸腔镜肺切除术后康复中的可行性及效果。方法:2015年1月至2021年12月,将连续行胸腔镜肺切除术的患者分为A组和B组,除A组进行围手术期肺康复管理外,其余患者均采用相同的围手术期治疗方案,B组未进行围手术期肺康复管理。比较两组的人口学、手术资料、术后并发症及临床结果。结果:入组68例,其中A组33例,b组35例,两组人口学资料及曲马多、双氯芬酸钠剂量具有可比性。A组术后3 d体温高于38℃者极少。A组术后平均首次下床时间短于b组,引流时间及术后住院时间相似。并发症无需干预。结论:围手术期PR在儿童胸腔镜肺切除术中的应用是安全可行的。
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来源期刊
CiteScore
3.00
自引率
5.60%
发文量
215
审稿时长
3-6 weeks
期刊介绍: Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor
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