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首页> 外文期刊>Surgical Endoscopy >Predictors of general complications after video-assisted thoracoscopic surgical procedures.
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Predictors of general complications after video-assisted thoracoscopic surgical procedures.

机译：电视胸腔镜手术后一般并发症的预测指标。

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摘要

BACKGROUND: The video-assisted thoracoscopic approach has become the preferred method for many procedures due to the reduced trauma, complication rate and morbidity. The aim of this study was a risk evaluation of patients undergoing video-assisted thoracoscopic surgery (VATS) procedures. METHODS: Between 1991 and 2004, 1,008 patients were included in this single-center retrospective analysis. Risk assessment was performed using univariate and multivariate analysis. RESULTS: Multivariate analysis revealed that patient age (p = 0.003), the duration of the VATS procedure (p = 0.008), redo-VATS (p < 0.001) and conversion to open thoracotomy (p < 0.001) correlated significantly with the incidence of complications. Patients with immune deficiency following organ transplantation had the highest complication rate at 31.7%, which was significantly higher than for patients with either benign disease (p = 0.010) or malignant disease (p = 0.019). CONCLUSIONS: VATS is a safe procedure, but extra caution is recommended for patients with a higher risk profile (age, redo-VATS, immune deficiency).
机译：背景：由于减少了创伤，并发症发生率和发病率，电视胸腔镜手术已成为许多手术的首选方法。本研究的目的是对接受电视胸腔镜手术（VATS）的患者进行风险评估。方法：在1991年至2004年之间，该单中心回顾性分析纳入了1,008例患者。使用单变量和多变量分析进行风险评估。结果：多因素分析显示，患者年龄（p = 0.003），VATS手术时间（p = 0.008），重做VATS（p <0.001）和开胸手术（p <0.001）的发生率与并发症。器官移植后免疫缺陷患者的最高并发症发生率为31.7％，明显高于良性疾病（p = 0.010）或恶性疾病（p = 0.019）的患者。结论：VATS是一种安全的方法，但是对于风险较高的患者（年龄，重做VATS，免疫缺陷），建议格外小心。

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