Discharge independence with minimally invasive lobectomy
Discharge independence with minimally invasive lobectomy
复制标题
DOI：
10.1016/j.amjsurg.2004.08.058
复制
发表时间：
2004-12-01
影响因子：
3
通讯作者：
Anderson, TM
中科院分区：
文献类型：
--
作者：
Demmy, TL;Plante, AJ;Anderson, TM
工作背景：电视胸腔镜手术（VATS）肺叶切除术对院后护理的影响尚不清楚。方法：在一项回顾性病例对照研究中，20例连续VATS病例与38例标准开胸手术（开放病例）相匹配。没有发生医院死亡。排除2例VATS和6例开放性离群值，VATS病例的住院天数（4.6 +/-1.9 vs. 6.4 +/-2.2，P <0.01）、胸管天数（3.0 +/-1.1 vs. 4.2 +/-1.7，P 0.01）和长期疼痛投诉（28% vs. 56%，P = 0.05）较少。63%的开放手术患者和20%的VATS患者需要转移到护理机构或家庭护理支持（P = 0.615）。更少，个人护理（10%与21%），伤口/医疗护理（0%与13%），职业/物理治疗（5%与13%），或其他家庭支持（5%与18%）需要VATS patients.Conclusions：在老年人群中，更多的独立性和更少的资源后，有利于VATS肺叶切除术标准开胸手术。(C)2004 Excerpta Medica Inc. All rights reserved.
Background: The effects of video-assisted thoracic surgery (VATS) pulmonary lobectomy on after-hospital care are not well known.Methods: In a retrospective case-control study, 20 consecutive VATS cases were matched to 38 standard thoracotomies (open cases).Results: Ages were 73.8 +/- 7.8 years with no-initial differences between the groups. No hospital deaths occurred. Excluding 2 VATS and 6 open outliers, VATS cases had fewer hospital days (4.6 +/- 1.9 vs. 6.4 +/- 2.2, P < 0.01), chest tube days (3.0 +/- 1.1 vs. 4.2 +/- 1.7, P 0.01), and prolonged pain complaints (28% vs. 56%, P = 0.05). Transfer to care facilities or home nursing support was needed for 63% of open patients and only 20% of VATS patients (P = 0.615). Less, personal care (10% vs. 21%), wound/medical care (0% vs. 13%), occupational/physical therapy (5% vs. 13%), or other home support (5% vs. 18%) was needed for VATS patients.Conclusions: In older populations, more independence and fewer resources after discharge favor VATS lobectomy over standard thoracotomy. (C) 2004 Excerpta Medica Inc. All rights reserved.