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首页> 外文期刊>Journal of Thoracic Disease >Clinical outcomes following an initial experience with a novel powered vascular stapler in video-assisted thoracoscopic lobectomies: results of a Chinese multi-center study
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Clinical outcomes following an initial experience with a novel powered vascular stapler in video-assisted thoracoscopic lobectomies: results of a Chinese multi-center study

机译：新型电动血管吻合器在视频辅助胸腔镜肺叶切除术中的初步经验后的临床结果：一项中国多中心研究的结果

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Background: The development of minimally invasive surgical approaches has revolutionized surgical care and greatly improved surgical outcomes. This study aimed to evaluate the clinical effectiveness of a powered vascular stapler (PVS) during video-assisted thoracoscopic surgery (VATS) lobectomy. Methods: This prospective, multi-center, post-market clinical study in China enrolled 50 patients with either a suspected or formal diagnosis of clinical stage IA to IIB non-small cell lung cancer (NSCLC) scheduled for VATS lobectomy. The clinical effectiveness of the PVS for successful pulmonary artery (PA)/pulmonary vein (PV) transection was evaluated. In addition, the surgeon’s stress, device usability, and surgeon satisfaction were measured using multiple questionnaires. Results: A total of 167 PAs/PVs were transected with 3 (1.8%) requiring intra-operative intervention. Fourteen of the 50 patients (28.0%) experienced at least one adverse event (AE), among whom 5 (10.0%) suffered from serious AEs. There were no postoperative hemorrhagic complications related to transection of the PA/PV with PVS. Surgeon satisfaction was surveyed by questionnaire after each of the 50 procedures resulting in a 96% reported satisfaction with device usability, specifically related to a low stress load and an increase in work efficiency. Conclusions: For VATS lobectomy, the PVS demonstrated a positive surgical effectiveness and value in cognitive and physical distress reduction. Complications following VATS lobectomy to treat NSCLC were generally low and as expected. Intraoperative complications were few and there were no postoperative complications related to the transection of the PA and PV during VATS lobectomy. Favorable results were reported on the surgeon satisfaction questionnaire regarding usability and surgeon stress.
机译：背景：微创手术方法的发展彻底改变了手术护理，并大大改善了手术效果。这项研究旨在评估电动胸腔镜手术（VATS）肺叶切除术期间动力血管吻合器（PVS）的临床有效性。方法：这项在中国的前瞻性，多中心，上市后临床研究招募了50名疑似或正式诊断为VATS肺叶切除术的IIB非小细胞肺癌（IICL）的临床分期。评估了PVS成功切除肺动脉（PA）/肺静脉（PV）的临床有效性。此外，还使用多个调查表测量了外科医生的压力，设备可用性和外科医生满意度。结果：总共切除了167个PA / PV，其中3个（1.8％）需要进行术中干预。 50名患者中有14名（28.0％）经历了至少一项不良事件（AE），其中5名（10.0％）患有严重的AE。没有术后出血并发症与PVS切除PA / PV有关。在50个步骤中的每个步骤之后，通过问卷调查对外科医生的满意度进行了调查，结果表明96％的患者对设备的可用性感到满意，特别是与低压力负荷和工作效率的提高有关。结论：对于VATS肺叶切除术，PVS表现出积极的手术效果，并在减少认知和身体不适方面具有价值。 VATS肺叶切除术治疗NSCLC后的并发症通常很低，符合预期。 VATS肺叶切除术中，术中并发症很少，并且没有与PA和PV横切有关的术后并发症。关于可用性和外科医生压力的外科医生满意度调查表报告了良好的结果。

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