无管化三孔与传统单操作孔胸腔镜手术治疗胸腺肿瘤的回顾性队列研究  

Tubeless three-port versus conventional single utility port thoracoscopic surgery in the treatment of thymic tumors:A retrospective cohort study

作　　者：修语池 刘博 孟浩 丁仁泉 刘星池 王仕祺 胡博潇 吴琼 张国庆 许世广 XIU Yuchi;LIU Bo;MENG Hao;DING Renquan;LIU Xingchi;WANG Shiqi;HU Boxiao;WU Qiong;ZHANG Guoqing;XU Shiguang(Department of Thoracic Surgery,General Hospital of Northern Theater Command,Shenyang,110016,P.R.China)

机构地区：[1]中国人民解放军北部战区总医院胸外科,沈阳110016

出　　处：《中国胸心血管外科临床杂志》2024年第4期546-550,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的探讨经侧胸入路完全无管化三孔胸腔镜(totally no tube three-port thoracoscopic surgery,TNTT)胸腺肿瘤手术的安全性与有效性。方法回顾性分析中国人民解放军北部战区总医院胸外科2021年11月—2022年5月收治的胸腺瘤患者的临床资料。根据手术方式,将患者分为TNTT组和传统单操作孔胸腔镜(single utility port video-assisted thoracic surgery,SVATS)组,比较两组患者的临床资料。结果共纳入111例患者,其中TNTT组44例,男20例、女24例,平均年龄(60.11±8.64)岁;SVATS组67例,男30例、女37例,平均年龄(62.40±7.92)岁。两组患者基线资料差异无统计学意义(P>0.05)。TNTT组术中出血量更少、术后住院时间更短,但SVATS组患者术后疼痛更轻(P<0.05)。结论TNTT有良好的手术安全性,术后住院时间明显缩短、术中出血量显著减少,在加速康复外科方面有明显优势,但SVATS可减轻患者术后疼痛。Objective To investigate the safety and efficacy of totally no tube three-port thoracoscopic surgery(TNTT)for thymic tumor via lateral thoracic approach.Methods The clinical data of patients with thymoma admitted to the Department of Thoracic Surgery of the General Hospital of Northern Theater Command from November 2021 to May 2022 were retrospectively analyzed.The patients were divided into a TNTT group and a single utility port videoassisted thoracic surgery(SVATS)group according to different surgical methods.The clinical data were compared between the two groups.Results A total of 111 patients were collected.There were 44 patients in the TNTT group,including 20 males and 24 females,with an average age of 60.11±8.64 years,and 67 patients in the SVATS group,including 30 males and 37 females,with an average age of 62.40±7.92 years.There was no significant difference between the two groups in the baseline data(P>0.05).The postoperative hospital stay and intraoperative blood loss were shorter or less in the TNTT group(P<0.05),and the visual analogue scale score 48 hours after the operation was smaller in the SVATS group(P<0.05).Conclusion TNTT has a good surgical safety,and can shorten postoperative hospital stay,reduce intraoperative blood loss,and has significant advantages in enhanced recovery after surgery,but SVATS can reduce postoperative pain in patients.

关 键 词：完全无管化 胸腔镜 胸腺瘤 加速康复外科 

分 类 号：R736.3[医药卫生—肿瘤]