腹腔镜外科杂志2024，Vol.29Issue(8)：579-583,5.DOI:10.13499/j.cnki.fqjwkzz.2024.08.579
胸腹腔镜食管癌根治术中人工气胸的应用效果分析
Application effect analysis of artificial pneumothorax in thoracoscopic and laparoscopic radical esophageal cancer surgery
摘要
Abstract
Objective:To investigate the application effect of artificial pneumothorax on the thoracoscopic and laparoscopic ra-dical surgery for esophageal cancer.Methods:A total of 86 patients who were scheduled to undergo thoracoscopic and laparoscopic radi-cal surgery for esophageal cancer from Aug.2016 to Mar.2023 were collected.All patients were randomly assigned to control group(n=43)and observation group(n=43)using random number table method.The control group received dual-lumen tube single lung ventilation,while the observation group received single lumen tube double-lung ventilation combined with artificial pneumothorax.The surgery time,intraoperative blood loss,postoperative wakefulness time,postoperative hospital stay,and PaCO2,PaO2,mean arterial pres-sure(MAP),and heart rate before artificial pneumothorax or one-lung ventilation(T1),after 30 min of artificial pneumothorax or one-lung ventilation(T2),after 60 min of artificial pneumothorax or one-lung ventilation(T3),and at 30 min after operation(T4)were compared between the two groups.Results:The postoperative hospital stay of the observation group was significantly shorter than that of the control group(P<0.05).In the observation group,PaCO2 levels at T2 and T3 were significantly higher than that at T1,the observa-tion group was higher than the control group.PaO2 levels at T2,T3,and T4 were lower than that at T1 in the both groups,the observation group was higher than the control group(P<0.05).MAP level at T2 was higher than that at T1 in the both groups,the observation group was higher than the control group.Heart rate at T2 and T3 was higher than that at T1 in both groups,the observation group was higher than the control group(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group[18.60%(8/43)vs.39.53%(17/43),P=0.033].Conclusions:The application of artificial pneumothorax in thoraco-scopic and la-paroscopic radical esophageal cancer surgery has an effect on intraoperative respiration and hemodynamics,there are fewer postoperative complications,and the patients can recover faster.关键词
食管切除术/胸腔镜检查/腹腔镜检查/气胸,人工/疗效比较研究Key words
Esophagectomy/Thoracoscopy/Laparoscopy/Pneumothorax,artificial/Comparative effectiveness research分类
医药卫生引用本文复制引用
殷优宏,戎国祥,张帆..胸腹腔镜食管癌根治术中人工气胸的应用效果分析[J].腹腔镜外科杂志,2024,29(8):579-583,5.基金项目
镇江市科技计划项目(SH2021082) （SH2021082）
