Thoracoscopic surgery for congenital lung cysts: an attempt to limit pulmonary resection in cases of lesions involving multiple lobes
Thoracoscopic surgery for congenital lung cysts: an attempt to limit pulmonary resection in cases of lesions involving multiple lobes
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先天性肺囊肿的胸腔镜手术：尝试在涉及多个肺叶的病变中限制肺切除
DOI：
10.1007/s00383-020-04793-y
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发表时间：
2021
影响因子：
1.8
通讯作者：
Chiyoe Shirota; Takahisa Tainaka; Wataru Sumida; Kazuki Yokota; Satoshi Makita; Hizuru Amano; Masamune Okamoto; Aitaro Takimoto; Akihiro Yasui; Yoichi Nakagawa; Akinari Hinoki; Yasuyuki Ono; Hiroo Uchida
中科院分区：
文献类型：
--
作者：
Nodoka Fujimoto;Taketoshi Ushiama;Chiyoe Shirota; Takahisa Tainaka; Wataru Sumida; Kazuki Yokota; Satoshi Makita; Hizuru Amano; Masamune Okamoto; Aitaro Takimoto; Akihiro Yasui; Yoichi Nakagawa; Akinari Hinoki; Yasuyuki Ono; Hiroo Uchida
目的虽然我们通常对先天性肺囊肿（CLC）进行胸腔镜肺叶切除术，但最近我们开始对相对较小的病灶和涉及多个肺叶的病灶进行胸腔镜有限肺切除术（肺段切除术或小部分肺切除术）。我们的研究旨在确定胸腔镜 CLC 手术的治疗结果。方法我们回顾性分析了 2013 年至 2020 年间在我们机构接受首次 CLC 手术的年龄≤≤18 岁的患者。结果 < 4 个月大的患者与 ≥ 4 个月大的患者之间的比较显示，手术时间或并发症发生率没有显着差异。 4 个月以下的患者以及接受过半紧急或紧急手术的患者的失血量 (mL/kg) 显着更大。半紧急或紧急手术的手术时间和术后并发症并未增加。术前有肺炎病史的患者与无肺炎病史的患者在手术时间、失血量、术后并发症等方面无显着差异。结论大多数患者胸腔镜CLC手术是安全进行的。有限的肺切除术被认为难以在儿童中通过胸腔镜进行，但可以使用新的设备和导航方法安全地进行。证据级别III。
PurposeAlthough we generally perform thoracoscopic lobectomy for congenital lung cysts (CLCs), we recently began performing thoracoscopic-limited pulmonary resection (segmentectomy or small partial lung resection) on relatively small lesions and on lesions involving multiple lobes. Our study aimed to determine the therapeutic outcomes of thoracoscopic CLC surgery.MethodsWe retrospectively reviewed patients aged ≤ 18 years who underwent their first CLC surgery at our facility between 2013 and 2020.ResultsA comparison between patients < 4 months old and those ≥ 4 months old showed no significant difference in operating time or incidence of complications. Blood loss volume (mL/kg) was significantly greater in patients < 4 months old and in patients who had undergone semi-urgent or urgent surgery. Operating time and postoperative complications were not increased in semi-urgent or urgent surgeries. There was no significant difference in operating time, blood loss volume, or postoperative complications between patients with a preoperative history of pneumonia and patients with no such history.ConclusionIn most patients, thoracoscopic surgery for CLC was safely performed. Limited pulmonary resection is considered difficult to perform thoracoscopically in children, but can be safely performed using new devices and navigation methods.Level of evidenceIII.
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影响因子：
1.5
作者：
Jin, Yuxiang;Wang, Mingdong;Zhao, Xuewei
通讯作者：
Zhao, Xuewei
影响因子：
2.4
作者：
Fascetti-Leon, Francesco;Gobbi, Dalia;Lima, Mario
通讯作者：
Lima, Mario
DOI：
10.1089/lap.2016.0334
发表时间：
2016-12
期刊：
Journal of laparoendoscopic & advanced surgical techniques. Part A
影响因子：
--
作者：
Rothenberg S
通讯作者：
Rothenberg S
DOI：
10.21037/jovs.2017.05.06
发表时间：
2017-01-01
期刊：
Journal of visualized surgery
影响因子：
--
作者：
Mun, Mingyon;Okumura, Sakae;Nakagawa, Ken
通讯作者：
Nakagawa, Ken
影响因子：
2.4
作者：
Bagrodia, Naina;Cassel, Shannon;Shilyansky, Joel
通讯作者：
Shilyansky, Joel