PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to analyze our video-assisted thoracic surgery (VATS) experience in the surgical treatment of bronchiectasis and the reasons limiting VATS application.
UNASSIGNED: Two hundred one patients (106 males, 95 females; mean age: 39.7±14.1 years; range, 12 to 68 years) who underwent surgical treatment for bronchiectasis between January 2012 and October 2021 were included in the retrospective study. Three groups were created based on the surgical technique used: VATS, thoracotomy, and patients who were converted from VATS to thoracotomy.
UNASSIGNED: The most significant presenting symptoms were cough (43%) and excessive sputum expectoration (40%). Surgical intervention was applied to the left side of 60% of the patients, and the most common resection performed in all three groups was left lower lobectomy. The rate of conversion from VATS to thoracotomy was 28.8%, and it was found that dense pleural adhesions were the most common reason. Revision surgery was performed on a total of 11 (5.47%) patients. The frequency of revision surgery did not differ significantly among the three groups (p=0.943). The most common postoperative complication was prolonged air leakage. There was no statistically significant difference in postoperative complication rates among the groups (p=0.417). The rate of surgical treatment of bronchiectasis with VATS was observed to have increased from 11.1% to 77.7% in our clinic.
UNASSIGNED: In experienced hands, VATS can be safely applied in the surgical treatment of bronchiectasis.
UNASSIGNED: Two hundred one patients (106 males, 95 females; mean age: 39.7±14.1 years; range, 12 to 68 years) who underwent surgical treatment for bronchiectasis between January 2012 and October 2021 were included in the retrospective study. Three groups were created based on the surgical technique used: VATS, thoracotomy, and patients who were converted from VATS to thoracotomy.
UNASSIGNED: The most significant presenting symptoms were cough (43%) and excessive sputum expectoration (40%). Surgical intervention was applied to the left side of 60% of the patients, and the most common resection performed in all three groups was left lower lobectomy. The rate of conversion from VATS to thoracotomy was 28.8%, and it was found that dense pleural adhesions were the most common reason. Revision surgery was performed on a total of 11 (5.47%) patients. The frequency of revision surgery did not differ significantly among the three groups (p=0.943). The most common postoperative complication was prolonged air leakage. There was no statistically significant difference in postoperative complication rates among the groups (p=0.417). The rate of surgical treatment of bronchiectasis with VATS was observed to have increased from 11.1% to 77.7% in our clinic.
UNASSIGNED: In experienced hands, VATS can be safely applied in the surgical treatment of bronchiectasis.
摘要：
■本研究旨在分析我们的电视胸腔镜手术（VATS）在支气管扩张症手术治疗中的经验以及限制VATS应用的原因。
■200名患者（106名男性，95名女性；平均年龄：39.7±14.1岁；范围，回顾性研究包括在2012年1月至2021年10月期间接受支气管扩张手术治疗的12至68岁）。根据所使用的手术技术创建了三组：VATS，开胸手术,以及从VATS转换为开胸手术的患者。
■最明显的症状是咳嗽（43％）和痰过多（40％）。手术干预应用于60％的患者的左侧，三组中最常见的切除是左下叶切除术。从VATS到开胸手术的转换率为28.8%，发现密集的胸膜粘连是最常见的原因。共11例(5.47%)患者进行了翻修手术。三组之间的翻修手术频率没有显着差异（p=0.943）。术后最常见的并发症是持续的漏气。各组术后并发症发生率差异无统计学意义(p=0.417)。在我们的临床中，用VATS手术治疗支气管扩张的比率从11.1％增加到77.7％。
■在有经验的手中，VATS可以安全地应用于支气管扩张的手术治疗。
■200名患者（106名男性，95名女性；平均年龄：39.7±14.1岁；范围，回顾性研究包括在2012年1月至2021年10月期间接受支气管扩张手术治疗的12至68岁）。根据所使用的手术技术创建了三组：VATS，开胸手术,以及从VATS转换为开胸手术的患者。
■最明显的症状是咳嗽（43％）和痰过多（40％）。手术干预应用于60％的患者的左侧，三组中最常见的切除是左下叶切除术。从VATS到开胸手术的转换率为28.8%，发现密集的胸膜粘连是最常见的原因。共11例(5.47%)患者进行了翻修手术。三组之间的翻修手术频率没有显着差异（p=0.943）。术后最常见的并发症是持续的漏气。各组术后并发症发生率差异无统计学意义(p=0.417)。在我们的临床中，用VATS手术治疗支气管扩张的比率从11.1％增加到77.7％。
■在有经验的手中，VATS可以安全地应用于支气管扩张的手术治疗。
