[1]黄法杨,林勇,李远航,等.机械切割与联合切割胸腔镜下分离肺段间平面的对照研究[J].福建医药杂志,2022,44(05):7-11.
　HUANG Fayang,LIN Yong,LI Yuanhang,et al.Stapler versus energy platform combined stapler for intersegmental plane dissection in thoracoscopic segmentectomy[J].FUJIAN MEDICAL JOURNAL,2022,44(05):7-11.
点击复制

机械切割与联合切割胸腔镜下分离肺段间平面的对照研究()
分享到：

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期数:
2022年05期
页码:
7-11
栏目:
临床研究
出版日期:
2022-10-15

文章信息/Info

Title:
Stapler versus energy platform combined stapler for intersegmental plane dissection in thoracoscopic segmentectomy
文章编号:
1002-2600（2022）05-0007-05
作者:
黄法杨; 林勇; 李远航; 陈新富
福建省福州肺科医院胸外科（福州 350008）
Author(s):
HUANG Fayang; LIN Yong; LI Yuanhang; CHEN Xinfu
Department of Thoracic Surgery, Fuzhou Pulmonary Hospital, Fuzhou, Fujian 350008, China
关键词:
胸腔镜; 肺段切除术; 段间平面; 机械切割; 经济效益
Keywords:
video-assisted thoracic surgery;  segmentectomy;  intersegmental plane;  stapling device;  economic benefits
分类号:
R655.3
文献标志码:
B
摘要:
目的 对机械切割及能量平台联合机械切割胸腔镜下分离肺段间平面进行对照研究。 方法 对符合入组条件的患者按手术时间先后顺序分成两组，每组30例，对术中出血量、手术时间、术中使用切割吻合钉数量、术后漏气天数、术后第1天引流量、手术后至出院天数、术后炎症因子水平、术后并发症等指标进行对比。 结果 两组病例在手术时间、术中出血量、术后第1天引流量、术后胸管漏气天数、术后炎症因子水平、术后至出院天数、术后并发症发生率（3/30 vs 3/30）方面差异均无统计学意义（P>0.05），而联合切割组术中使用吻合钉数要明显少于机械切割组[5.00（4.00,5.00）个 vs 6.00（6.00,7.00）个，P=0.000]。 结论 能量平台联合机械切割分离段间平面安全性与完全使用机械切割相当，且减少了吻合钉的使用，有良好的社会经济效益。
Abstract:
Objective This study aims to compare the two methods: stapler and energy platform combined stapler used in dividing the intersegmental plane. Methods Using prospective randomized control study, patients underwent complete thoracoscopic segmentectomy were randomly divided into two groups in the order of surgical time, 30 cases in each group. In flammatory indicators such as intraoperative bleeding, operation time, number of surgical stapler, days of postoperative air leakage, flow introduction on day 1, days after operation to discharge, postoperative inflammatory factor levels, postoperative complications were compared.Results There were no statistical differences（P>0.05） between the two groups in intraoperative bleeding, operation time, days of postoperative air leakage, flow introduction on day 1, days after operation to discharge, postoperative inflammatory factor levels，and the incidence of postoperative complications（3/30 vs 3/30）. In terms of the number of surgical stapler, the energy platform combined stapler group was significantly less than the stapler group[5.00（4.00,5.00） vs 6.00（6.00,7.00），P=0.000]. Conclusion The safety of the energy platform combined with stapler used in dividing the intersegmental plane in pulmonary segmentectomy is equivalent to the full use of stapler, and reduces the use of surgical stapler, and has good social and economic benefits.

参考文献/References:

[1] 刘海波,林钢,张诗杰,等.电刀切割和机械切割在全胸腔镜肺段切除术段间平面分离中应用的对照研究[J].中国肺癌杂志,2017,20（1）:41-46.
[2] 陈刚,汪方清,阮卫民,等.能量器械与机械缝合器在肺部小结节肺段切除术的应用对比研究[J].临床肺科杂志,2021,26（4）:499-502,508.
[3] Ma M,He F,Lv X,et al.Feasibility and effectiveness of thoracoscopic pulmonary segmentectomy for non-small cell lung cancer[J].Medicine, 2020, 99(5): e18959.
[4] Georgios S,Gunda L, Birte S,et al.Perioperative course and quality of life in a prospective randomized multicenter phase Ⅲ trial, comparing standard lobectomy versus anatomical segmentectomy in patients with non-small cell lung cancer up to 2 cm, stage IA (7th edition of TNM staging system)[J].Lung cancer (Amsterdam, Netherlands),2019,138:19-26.
[5] 高超.胸腔镜下解剖性肺段切除术与肺叶切除术对早期NSCLC肺功能的影响[J].内蒙古医学杂志,2021,53（1）:88-89.
[6] 齐海亮,李明珠,杜秀然,等.全胸腔镜解剖性肺段切除术治疗结核性支气管扩张症[J].中国微创外科杂志,2018,19（9）:802-805.
[7] 陈醒狮,金润森.肺段切除术中段间平面处理方式的研究进展[J].中国微创外科杂志,2019,19(2):190-192.
[8] 陈昊,黄麟,郑斌,等.单孔胸腔下肺段切除术中超声刀分离段间平面的应用研究[J].中华胸部外科电子杂志,2019,6（2）:131-135.
[9] Mitsuyoshi M,Koyo S, Hirotaka Y,et al.Division of the intersegmental plane using electrocautery for segmentectomy in clinical stage I non-small cell lung cancer[J].Journal of thoracic disease,2018,10（10）:S1215-S1221.
[10] Lu T J,Zhang R X,Jiang K X,et al.Electrocautery vs.Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis[J].Frontiers in surgery,2021,8:711685.
[11] 张雷,李小军,王伟,等.胸腔镜下膨胀萎陷联合立体降维法处理肺段间平面的临床应用[J].蚌埠医学院学报,2021,46（3）:300-303.
[12] 饶孙银,叶联华,赵光强,等.“双向识别”理念在解剖性肺段切除术段门结构处理中的应用[J].中国微创外科杂志,2019,19（11）:981-984.

相似文献/References:

[1]黄郴,徐驯宇.胸腔镜外科领域新进展[J].福建医药杂志,2017,39(4):1.

备注/Memo

备注/Memo:
基金项目：福州市卫生健康科技计划中青年科学研究项目（2020-S-wq12）
更新日期/Last Update: 2022-10-15