自主呼吸麻醉剑突入路单孔胸腔镜技术治疗胸腺瘤的临床研究
Clinical study of single-port subxiphoid thoracoscopy under spontaneous breathing anesthesia for thymoma treatment
罗金龙 1韦云萍 1沈斌 1韦科全 1孙振栋 2于美钢 3蒋伟 1周一凡1
作者信息
- 1. 广西壮族自治区人民医院心胸血管外科,广西 南宁 530021
- 2. 右江民族医学院研究生学院,广西 百色 533000
- 3. 广西壮族自治区人民医院麻醉科,广西 南宁 530021
- 折叠
摘要
目的 分析自主呼吸麻醉剑突入路单孔胸腔镜技术治疗胸腺瘤的临床价值.方法 将本院心胸血管外科2021年3月至2023年3月42例诊断为胸腺瘤的患者纳入研究,按手术方式分为两组:自主呼吸麻醉剑突入路单孔胸腔镜组(A组,n=21)和双腔气管插管全麻侧胸胸腔镜组(B组,n=21).比较两组围术期各项指标及随访情况.结果 自主呼吸麻醉剑突入路单孔胸腔镜组在手术时间、术中失血量、术后引流管留置时间、术后引流量、术后住院时间和术后早期疼痛视觉模拟评分等方面均优于全麻侧胸胸腔镜组(P＜0.05).两组并发症和住院总费用比较差异无统计学意义(P＞0.05).随访显示,两组均未见肿瘤复发及转移.结论 自主呼吸麻醉剑突入路单孔胸腔镜技术治疗胸腺瘤在较多方面优于全麻侧胸胸腔镜手术,安全性好,创伤小,术中出血少,术后疼痛轻、恢复快,不增加住院费用,值得临床进一步推广.
Abstract
Objective To analyze the clinical value of single-port subxiphoid thoracoscopy under spontane-ous breathing anesthesia for thymoma treatment.Methods The study included 42 patients diagnosed with thymoma in the Department of Cardiothoracic Surgery from March 2021 to March 2023.Patients were divided into two groups according to surgical method:Group A(n=21)underwent single-port subxiphoid thoracosco-py under spontaneous breathing anesthesia,and Group B(n=21)underwent lateral thoracoscopy under gen-eral anesthesia with double-lumen tracheal intubation.Perioperative indicators and follow-up results were com-pared between the two groups.Results Group A showed superior outcomes compared to Group B in terms of operation time,intraoperative blood loss,postoperative drainage retain time,postoperative drainage volume,hospital stay after operation and early postoperative stage pain visual analogue score(P＜0.05).There were no significant differences in complications and total hospitalization costs between the two groups(P＞0.05).Follow-up showed no tumor recurrence or metastasis in either group.Conclusion Single-port subxiphoid thoracoscopy under spontaneous breathing anesthesia demonstrates several advantages over lateral thoracoscopy under general anesthesia for thymoma treatment.These include enhanced safety,less trauma,less intraopera-tive bleeding,milder postoperative pain,faster recovery,and comparable hospitalization costs,which is worthy of further clinical promotion.
关键词
自主呼吸麻醉/剑突入路/胸腔镜检查/胸腺瘤Key words
spontaneous breathing anesthesia/subxiphoid approach/thoracoscopy/thymoma引用本文复制引用
基金项目
南宁市青秀区科技计划项目合同(2020029)
出版年
2024
NETL
NSTL
万方数据