肺癌胸腔镜或开胸肺叶切除术术后并发症、疼痛及生活质量。

IF 0.4 Q4 SURGERY Giornale di Chirurgia Pub Date : 2019-03-01

C Porrello, G Scerrino, A Vaglica, M Palazzolo, C M Gagliardo, F Giangregorio, D Iadicola, G Tomasello, F Lo Faso, K Kawamukai, N Lacava, Fabrizio Carini, G Cocorullo, R Gullo

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引用次数: 0

摘要

目的:胸腔镜肺叶切除术优于开胸手术，但这一假设的证据不足。我们在术后并发症、死亡率、术后疼痛、住院时间和生活质量方面比较开胸手术和胸腔镜手术。患者和方法:回顾性分析24个月内224例肺叶切除术。128例(57.1%)行开胸手术;96例(42.9%)经胸腔镜检查。结果:开胸组有4/128(3.1%)出现严重并发症，胸腔镜组有1/96(1%)出现严重并发症。开胸手术中38/128例(29.7%)出现轻微并发症，胸腔镜手术中16/96例(16.7%)出现轻微并发症。胸腔镜患者的住院时间较短。结论:本研究显示胸腔镜优于开胸手术，但仍需进一步研究。

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Postoperative complications, pain and quality of life after thoracoscopic or thoracotomic lobectomy for lung cancer.

Aim: Thoracoscopic lobectomy is superior to thoracotomy, but the evidence for this assumption is low. We present a comparison between thoracotomy and thoracoscopy in term of postoperative complications, mortality, postoperative pain, hospital stay and quality of life.

Patients and methods: This is a retrospective analysis of 224 lobectomies in 24-months. 128 patients (57.1%) were operated by thoracotomy; 96 patients (42.9%) by videothoracoscopy.

Results: Major complications were observed in 4/128 (3.1%) in thoracotomy group and in 1/96 (1%) in thoracoscopy. Minor complications were observed in 38/128 patients (29.7%) in the thoracotomy, and in 16/96 (16.7%) thoracoscopy. Thoracoscopy patients had a shorter hospital stay.

Conclusion: Our study shows an advantage of thoracoscopy over thoracotomy but further studies are needed.

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来源期刊

Giornale di Chirurgia SURGERY-

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.