目的:探讨基于虚拟胸腔镜的肺癌手术导航系统在提高早期肺癌术野实时可视化和安全手术切缘中的应用价值。方法:回顾性总结2018年4月至2020年8月阜外华中心血管病医院胸外科收治的早期肺癌(最大直径<20 mm)患者共134例,其中70例(对照...目的:探讨基于虚拟胸腔镜的肺癌手术导航系统在提高早期肺癌术野实时可视化和安全手术切缘中的应用价值。方法:回顾性总结2018年4月至2020年8月阜外华中心血管病医院胸外科收治的早期肺癌(最大直径<20 mm)患者共134例,其中70例(对照组)接受全电视胸腔镜根治术(VATS),另外64例(观察组)采用基于虚拟胸腔镜的肺癌手术导航系统治疗。比较两组患者的平均手术时间、总出血量和并发症,患者-图像校准的误差、切缘与肿瘤的距离以及首次切缘阴性率,比较术后1 a肿瘤复发率和患者生存率。结果:观察组手术时间[(135±21) min vs (158±36) min,P=0.008]、出血量[(245±34) mLvs (306±42) mL,P=0.001]和总并发症发生率(7.8%vs 21.4%,P=0.027)均小于对照组,患者-图像校准的误差[(0.6±0.2) cm vs (1.4±0.4) cm,P=0.004]、切缘与肿瘤的距离[(1.6±0.3) cm vs (2.7±0.5) cm,P=0.001]小于对照组,首次切缘阴性率高于对照组(98.4%vs 88.6%,P=0.023),肿瘤复发率低于对照组(6.3%vs 20.0%,P=0.020),患者生存率高于对照组(96.9%vs 85.7%,P=0.024)。结论:基于虚拟胸腔镜的肺癌手术导航系统治疗在提高早期肺癌术野实时可视化和安全手术切缘方面有较好的效果。展开更多
Tracheobronchial rupture following blunt chest trauma is rare.Since high mortality of tracheobronchial rupture,accurate diagnosis and efficient treatment should be implemented as soon as possible.Here,we present the c...Tracheobronchial rupture following blunt chest trauma is rare.Since high mortality of tracheobronchial rupture,accurate diagnosis and efficient treatment should be implemented as soon as possible.Here,we present the case of a patient who came across a car accident,resulting in the right main bronchial injuries and status epilepticus.He was diagnosed 3 days later and transmitted to our hospital after a long distance transport with the support of extracorporeal membrane oxygenation(ECMO).The repair of bronchial injuries was performed successfully.This case indicated that ECMO is beneficial for tracheobronchial rupture and status epilepticus.展开更多
文摘目的:探讨基于虚拟胸腔镜的肺癌手术导航系统在提高早期肺癌术野实时可视化和安全手术切缘中的应用价值。方法:回顾性总结2018年4月至2020年8月阜外华中心血管病医院胸外科收治的早期肺癌(最大直径<20 mm)患者共134例,其中70例(对照组)接受全电视胸腔镜根治术(VATS),另外64例(观察组)采用基于虚拟胸腔镜的肺癌手术导航系统治疗。比较两组患者的平均手术时间、总出血量和并发症,患者-图像校准的误差、切缘与肿瘤的距离以及首次切缘阴性率,比较术后1 a肿瘤复发率和患者生存率。结果:观察组手术时间[(135±21) min vs (158±36) min,P=0.008]、出血量[(245±34) mLvs (306±42) mL,P=0.001]和总并发症发生率(7.8%vs 21.4%,P=0.027)均小于对照组,患者-图像校准的误差[(0.6±0.2) cm vs (1.4±0.4) cm,P=0.004]、切缘与肿瘤的距离[(1.6±0.3) cm vs (2.7±0.5) cm,P=0.001]小于对照组,首次切缘阴性率高于对照组(98.4%vs 88.6%,P=0.023),肿瘤复发率低于对照组(6.3%vs 20.0%,P=0.020),患者生存率高于对照组(96.9%vs 85.7%,P=0.024)。结论:基于虚拟胸腔镜的肺癌手术导航系统治疗在提高早期肺癌术野实时可视化和安全手术切缘方面有较好的效果。
文摘Tracheobronchial rupture following blunt chest trauma is rare.Since high mortality of tracheobronchial rupture,accurate diagnosis and efficient treatment should be implemented as soon as possible.Here,we present the case of a patient who came across a car accident,resulting in the right main bronchial injuries and status epilepticus.He was diagnosed 3 days later and transmitted to our hospital after a long distance transport with the support of extracorporeal membrane oxygenation(ECMO).The repair of bronchial injuries was performed successfully.This case indicated that ECMO is beneficial for tracheobronchial rupture and status epilepticus.
