CHEST:肺癌行机器人辅助肺叶切除术的效果

2017-06-02 xiangting MedSci原创

在这项研究中探讨了行肺叶切除术患者(pts)的肺部肿瘤的不对称性及结局。

在这项研究中探讨了行肺叶切除术患者(pts)的肺部肿瘤的不对称性及结局。

回顾性分析了2010年9月至2016年8月期间接受机器人辅助肺叶切除术的所有患者数据,分析了肺切除术和围手术期结果的偏侧性。

共纳入374例患者(平均年龄67±1岁;范围24-87岁),男性42.5%,女性57.5%。最常见的组织学是腺癌(61%)和鳞状细胞(19%),神经内分泌(8.5%)和腺鳞(1%)癌。原发性肺癌和转移灶在右侧更为普遍(p = 0.005),右侧原发癌为64.6%,左侧为35.4%(p = 0.01),右侧转移灶72.4%,27.6%在左边(p = 0.17)。在7、10、11和12级阳性淋巴结转移灶的数目不对称,但只有11级具有显著性(p = 0.03)。右侧肺叶切除术有较大的中位估计失血量(EBL,200±31 mL对150±19 mL; p = 0.018),中位手术时间(188±5 min vs 168±6 min; p = 0.014)。右侧和左侧病例的整体和紧急转为开放肺叶切除的比率均无差异(总体为6.6%vs 6.2%,p = 0.88;紧急3.7%vs 1.5%,p = 0.24),术中并发症发生率也没有差异(8.2%vs 3.8%,p = 0.11)。右侧肺叶切除术的中位胸管时间长(4.0±0.4天vs 3.0±0.5天; p = 0.03)和中位住院时间(LOS,5.0±0.4天vs 4.0±0.4天; p = 0.008)。右侧肺叶切除术后并发症发生率高(38.5%vs 27.7%; p = 0.045)。大多数类型的个体并发症发生率在左侧和右侧之间没有统计学差异,除了长时间的漏气≥7天(22%对12%; p = 0.007),其中胆汁漏出(4.5%vs 0.8%; p = 0.059)不显著。 对住院死亡率(右侧,1.6%,左侧0%; p = 0.14)或1年死亡率(右侧,12%,左侧10%; p = 0.51)无显著影响。

原始出处:

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    2017-11-28 Smile2680
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    2017-06-04 xue8602
  5. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Fri Jun 02 13:26:13 CST 2017, time=2017-06-02, status=1, ipAttribution=)]
  6. 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  7. 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  8. 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encodeId=72af20603589, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7f401615413, createdName=慧读, createdTime=Sat Jun 03 16:13:11 CST 2017, time=2017-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=205651, encodeId=d0492056511e, content=非常好的文章,学习了,很受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Fri Jun 02 13:44:30 CST 2017, time=2017-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=205636, encodeId=704320563680, content=谢谢分享,学习了!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Fri Jun 02 13:26:13 CST 2017, time=2017-06-02, status=1, ipAttribution=)]
    2017-06-03 慧读

    谢谢分享!

    0

  9. 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encodeId=72af20603589, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7f401615413, createdName=慧读, createdTime=Sat Jun 03 16:13:11 CST 2017, time=2017-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=205651, encodeId=d0492056511e, content=非常好的文章,学习了,很受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Fri Jun 02 13:44:30 CST 2017, time=2017-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=205636, encodeId=704320563680, content=谢谢分享,学习了!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Fri Jun 02 13:26:13 CST 2017, time=2017-06-02, status=1, ipAttribution=)]
    2017-06-02 天涯183

    非常好的文章,学习了,很受益

    0

  10. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Fri Jun 02 13:26:13 CST 2017, time=2017-06-02, status=1, ipAttribution=)]
    2017-06-02 虈亣靌

    谢谢分享,学习了!!!

    0

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