摘要
目的研究同期双侧单孔胸腔镜下亚肺叶切除在双肺多发肺结节患者治疗中的安全性。方法选取2021-2023年在该院行单孔胸腔镜下亚肺叶切除的120例患者为研究对象,按照手术方式分为同期双侧手术组(研究组)和单侧手术组(对照组)。比较两组手术情况、围手术期相关指标、术后并发症发生率、术后住院时间。结果两组均顺利完成手术。两组手术时间、术后WBC计数及中性粒细胞百分比、引流管放置时间、追加镇痛药比例、术后住院时间、术后并发症发生率比较差异有统计学意义(P<0.05),但术后血红蛋白和ALB水平、引流量比较差异无统计学意义(P>0.05)。结论在精准的术前规划和严密的监护下,同期行双侧单孔胸腔镜下亚肺叶切除术安全可行。
Objective To explore the safety of synchronous bilateral single-port thoracoscopic sublobectomy in the treatment of patients with multiple pulmonary nodules.Methods A total of 120 patients who underwent single-port thoracoscopic sublobectomy in this hospital from 2021 to 2023 were selected as the research subjects and divided into the synchronous bilateral surgery group(the study group)and the unilateral surgery group(the control group)according to the surgical methods.The surgical conditions,perioperative indicators,incidence of complications,and postoperative hospital stay of the two groups were compared.Results The surgeries of both groups of patients were successfully completed.The operation time,postoperative hospital stay,drainage tube placement time,proportion of additional analgesics,changes in WBC and neutrophil percentage before and after the operation,and the incidence of postoperative complications in the study group were all higher than those in the control group(P<0.05),but there were no statistically significant differences in hemoglobin and ALB levels and drainage volume before and after the operation between the two groups(P>0.05).Conclusion Under precise preoperative planning and strict monitoring,synchronous bilateral single-port thoracoscopic sublobectomy is safe and feasible.
作者
肖寒松
黄春
XIAO Hansong;HUANG Chun(Department of Thoracic and Cardiovascular Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
出处
《重庆医学》
2025年第8期1899-1903,共5页
Chongqing Medical Journal
关键词
双肺多发结节
同期手术
亚肺叶
术后恢复
安全性
multiple pulmonary nodules
synchronous surgery
sub-lobar resection
postoperative recovery
safety
