Objective This study was performed to evaluate the efficacy of robot-assisted thoracoscopic surgery(RATS)in the treatment of pulmonary sequestration(PS)in children.Methods All video-assisted thoracoscopic surgery(VATS...Objective This study was performed to evaluate the efficacy of robot-assisted thoracoscopic surgery(RATS)in the treatment of pulmonary sequestration(PS)in children.Methods All video-assisted thoracoscopic surgery(VATS)and RAST performed on patients with PS at a single center from May 2019 to July 2023 were identified.The x2 and Wilcoxon tests were used to compare the perioperative outcomes between VATS and RATS groups.Results Ninety-three patients underwent RATS while 77 patients underwent VATS.In both two groups,one patient converted to thoracotomy and no surgical mortality case.The median operation time was longer for the RATS group compared with the VATS group(75 min vs.60 min,p<0.001).A lower ratio of chest tube indwelling(61.3%vs.90.9%,p<0.001),fewer drainage days(1.0 day vs.2.0 days,p<0.001),and a shorter postoperative length of stay(5.0 days vs.6.0 days,p<0.001)were found in the RATS group than that in the VATS group.No significant difference was found in the incidence of short-term postoperative complications(hydrothorax and pneumothorax)between two groups.Conclusions RATS was safe and effective in children with PS over 6 months old and more than 7 kg.Furthermore,RATS led to better short-time postoperative outcome than VATS.Multi-institutional studies are warranted to compare differences in long-term outcomes between RATS and VATS.展开更多
Background:Pectus excavatum is the most common congenital chest wall deformity,with a high incidence in live births.This study aimed to evaluate the measured factors on CT images related to the number of pectus bars f...Background:Pectus excavatum is the most common congenital chest wall deformity,with a high incidence in live births.This study aimed to evaluate the measured factors on CT images related to the number of pectus bars for surgical correction.Methods:A total of 497 patients who had undergone minimally invasive repair between April 2007 and July 2011 were classified into single-bar(n=358)and doublebar(n=139)insertion groups.We measured eight distinct distances and one angle on CT scans to reflect quantitative assessment.Univariate analysis and multivariate logistic regression analysis were performed to detect statistically significant association between radiologic measurements and the pectus bars required.Results:After adjusting for age and gender,the transverse distance(T),the transverse distance of the depression area(A),the inclined distance of the depression area(B),the AP distance of the depression area(C),the depression angle(G),and the eccentric distance of deformity(E)were significantly correlated with double-bar insertion.The regression model showed that age(,P<0.0001),gender(P<0.0001),depression angle(G)(P<0.0001),direction of the depression(DD)(P<O.OOO1)and depression depth(D)(P<0.0001)were significantly associated with doublebar insertion.Conclusion:CT scan provides useful factors which can be of assistance in predicting the number of pectus bars for the surgical correction of pectus excavatum.展开更多
基金funded by the Central Guiding Fund for Local Science and Technology Development Projects(2023ZY1058).
文摘Objective This study was performed to evaluate the efficacy of robot-assisted thoracoscopic surgery(RATS)in the treatment of pulmonary sequestration(PS)in children.Methods All video-assisted thoracoscopic surgery(VATS)and RAST performed on patients with PS at a single center from May 2019 to July 2023 were identified.The x2 and Wilcoxon tests were used to compare the perioperative outcomes between VATS and RATS groups.Results Ninety-three patients underwent RATS while 77 patients underwent VATS.In both two groups,one patient converted to thoracotomy and no surgical mortality case.The median operation time was longer for the RATS group compared with the VATS group(75 min vs.60 min,p<0.001).A lower ratio of chest tube indwelling(61.3%vs.90.9%,p<0.001),fewer drainage days(1.0 day vs.2.0 days,p<0.001),and a shorter postoperative length of stay(5.0 days vs.6.0 days,p<0.001)were found in the RATS group than that in the VATS group.No significant difference was found in the incidence of short-term postoperative complications(hydrothorax and pneumothorax)between two groups.Conclusions RATS was safe and effective in children with PS over 6 months old and more than 7 kg.Furthermore,RATS led to better short-time postoperative outcome than VATS.Multi-institutional studies are warranted to compare differences in long-term outcomes between RATS and VATS.
基金supported by a grant from the Research Foundation of Korea University(K1220231)
文摘Background:Pectus excavatum is the most common congenital chest wall deformity,with a high incidence in live births.This study aimed to evaluate the measured factors on CT images related to the number of pectus bars for surgical correction.Methods:A total of 497 patients who had undergone minimally invasive repair between April 2007 and July 2011 were classified into single-bar(n=358)and doublebar(n=139)insertion groups.We measured eight distinct distances and one angle on CT scans to reflect quantitative assessment.Univariate analysis and multivariate logistic regression analysis were performed to detect statistically significant association between radiologic measurements and the pectus bars required.Results:After adjusting for age and gender,the transverse distance(T),the transverse distance of the depression area(A),the inclined distance of the depression area(B),the AP distance of the depression area(C),the depression angle(G),and the eccentric distance of deformity(E)were significantly correlated with double-bar insertion.The regression model showed that age(,P<0.0001),gender(P<0.0001),depression angle(G)(P<0.0001),direction of the depression(DD)(P<O.OOO1)and depression depth(D)(P<0.0001)were significantly associated with doublebar insertion.Conclusion:CT scan provides useful factors which can be of assistance in predicting the number of pectus bars for the surgical correction of pectus excavatum.
