Abstract：
UNASSIGNED: Pediatric bronchiectasis is a common respiratory disease in children. The use of video-assisted thoracoscopic surgery (VATS) for its treatment remains controversial.
UNASSIGNED: The objective of our study was to compare and analyze the clinical efficacy of thoracoscopic surgery and thoracotomy in the treatment of pediatric bronchiectasis and summarize the surgical treatment experience of VATS in children with bronchiectasis.
UNASSIGNED: Retrospective single-center cohort study.
UNASSIGNED: A retrospective analysis was conducted on the clinical data of 46 pediatric patients who underwent surgery with bronchiectasis at the Children\'s Hospital of Chongqing Medical University from May 2015 to May 2023. The patients were divided into two groups: the VATS group (25 cases) and the thoracotomy group (21 cases). Comparative analysis was performed on various parameters including basic clinical data, surgical methods, operation time, intraoperative blood loss, transfusion status, postoperative pain, postoperative mechanical ventilation time, chest tube drainage time, length of hospital stay, incidence of complications, and follow-up information.
UNASSIGNED: There were no statistically significant differences between the two groups of patients in terms of age, weight, gender, etiology, duration of symptoms, site of onset, and comorbidities (p > 0.05). The operation time in the VATS group was longer than that in the thoracotomy group (p < 0.001). However, the VATS group had better outcomes in terms of intraoperative blood loss, transfusion status, postoperative pain, postoperative mechanical ventilation time, chest tube drainage time, and length of hospital stay (p < 0.05). The incidence of postoperative complications in the VATS group was lower than that in the thoracotomy group, although the difference was not statistically significant (p = 0.152). Follow-up data showed no statistically significant difference in the surgical treatment outcomes between the two groups (p = 0.493).
UNASSIGNED: The incidence of complications and mortality in surgical treatment of bronchiectasis is acceptable. Compared with thoracotomy surgery, VATS has advantages such as smaller trauma, less pain, faster recovery, and fewer complications. For suitable pediatric patients with bronchiectasis, VATS is a safe and effective surgical method.
UNASSIGNED: The objective of our study was to compare and analyze the clinical efficacy of thoracoscopic surgery and thoracotomy in the treatment of pediatric bronchiectasis and summarize the surgical treatment experience of VATS in children with bronchiectasis.
UNASSIGNED: Retrospective single-center cohort study.
UNASSIGNED: A retrospective analysis was conducted on the clinical data of 46 pediatric patients who underwent surgery with bronchiectasis at the Children\'s Hospital of Chongqing Medical University from May 2015 to May 2023. The patients were divided into two groups: the VATS group (25 cases) and the thoracotomy group (21 cases). Comparative analysis was performed on various parameters including basic clinical data, surgical methods, operation time, intraoperative blood loss, transfusion status, postoperative pain, postoperative mechanical ventilation time, chest tube drainage time, length of hospital stay, incidence of complications, and follow-up information.
UNASSIGNED: There were no statistically significant differences between the two groups of patients in terms of age, weight, gender, etiology, duration of symptoms, site of onset, and comorbidities (p > 0.05). The operation time in the VATS group was longer than that in the thoracotomy group (p < 0.001). However, the VATS group had better outcomes in terms of intraoperative blood loss, transfusion status, postoperative pain, postoperative mechanical ventilation time, chest tube drainage time, and length of hospital stay (p < 0.05). The incidence of postoperative complications in the VATS group was lower than that in the thoracotomy group, although the difference was not statistically significant (p = 0.152). Follow-up data showed no statistically significant difference in the surgical treatment outcomes between the two groups (p = 0.493).
UNASSIGNED: The incidence of complications and mortality in surgical treatment of bronchiectasis is acceptable. Compared with thoracotomy surgery, VATS has advantages such as smaller trauma, less pain, faster recovery, and fewer complications. For suitable pediatric patients with bronchiectasis, VATS is a safe and effective surgical method.
摘要：
■小儿支气管扩张症是儿童常见的呼吸道疾病。使用电视辅助胸腔镜手术（VATS）进行治疗仍存在争议。
■本研究旨在对比分析胸腔镜手术与开胸手术治疗小儿支气管扩张症的临床疗效，总结VATS治疗小儿支气管扩张症的手术治疗经验。
■回顾性单中心队列研究。
■回顾性分析重庆医科大学附属儿童医院2015年5月至2023年5月46例支气管扩张患儿的临床资料。将患者分为两组：VATS组（25例）和开胸手术组（21例）。对各种参数进行比较分析，包括基本临床数据，手术方法,操作时间,术中失血,输血状态,术后疼痛,术后机械通气时间,胸管引流时间,住院时间,并发症的发生率，和后续信息。
■两组患者在年龄方面无统计学差异,体重,性别,病因学,症状持续时间，发病部位,和合并症（p>0.05）。VATS组手术时间长于开胸手术组(p<0.001)。然而,VATS组在术中失血方面有更好的结果，输血状态,术后疼痛,术后机械通气时间,胸管引流时间,住院时间(p<0.05)。VATS组术后并发症发生率低于开胸组,尽管差异无统计学意义（p=0.152）。随访数据显示两组间手术治疗结果差异无统计学意义(p=0.493)。
■手术治疗支气管扩张的并发症发生率和死亡率是可以接受的。与开胸手术相比，VATS具有创伤小等优点，更少的痛苦，更快的恢复，更少的并发症。对于支气管扩张的合适儿科患者，VATS是一种安全有效的手术方法。
■本研究旨在对比分析胸腔镜手术与开胸手术治疗小儿支气管扩张症的临床疗效，总结VATS治疗小儿支气管扩张症的手术治疗经验。
■回顾性单中心队列研究。
■回顾性分析重庆医科大学附属儿童医院2015年5月至2023年5月46例支气管扩张患儿的临床资料。将患者分为两组：VATS组（25例）和开胸手术组（21例）。对各种参数进行比较分析，包括基本临床数据，手术方法,操作时间,术中失血,输血状态,术后疼痛,术后机械通气时间,胸管引流时间,住院时间,并发症的发生率，和后续信息。
■两组患者在年龄方面无统计学差异,体重,性别,病因学,症状持续时间，发病部位,和合并症（p>0.05）。VATS组手术时间长于开胸手术组(p<0.001)。然而,VATS组在术中失血方面有更好的结果，输血状态,术后疼痛,术后机械通气时间,胸管引流时间,住院时间(p<0.05)。VATS组术后并发症发生率低于开胸组,尽管差异无统计学意义（p=0.152）。随访数据显示两组间手术治疗结果差异无统计学意义(p=0.493)。
■手术治疗支气管扩张的并发症发生率和死亡率是可以接受的。与开胸手术相比，VATS具有创伤小等优点，更少的痛苦，更快的恢复，更少的并发症。对于支气管扩张的合适儿科患者，VATS是一种安全有效的手术方法。
