文献

J-GLOBAL ID：202202276866630902   整理番号：22A1029923

低肺機能の非小細胞肺癌患者に対する自発換気ビデオ支援胸腔鏡下手術:短期および長期結果【JST・京大機械翻訳】

Spontaneous Ventilation Video-Assisted Thoracoscopic Surgery for Non-small-cell Lung Cancer Patients With Poor Lung Function: Short- and Long-Term Outcomes

著者 (18件)： Wang Runchen (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Wang Runchen (Nanshan School, Guangzhou Medical University, Guangzhou, China) ,  Wang Qixia (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Wang Qixia (Nanshan School, Guangzhou Medical University, Guangzhou, China) ,  Jiang Shunjun (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Chen Chao (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Chen Chao (Nanshan School, Guangzhou Medical University, Guangzhou, China) ,  Zheng Jianqi (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Liu Hui (Department of Anesthesia, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Liang Xueqing (School of Public Health, Southern Medical University, Guangzhou, China) ,  Chen Zhuxing (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Wang Haixuan (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Guo Zhuoxuan (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Liang Wenhua (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  He Jianxing (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  He Jianxing (Nanshan School, Guangzhou Medical University, Guangzhou, China) ,  Liang Hengrui (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China) ,  Wang Wei (State Key Laboratory of Respiratory Disease, Department of Thoracic Surgery and Oncology, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China)
資料名： Frontiers in Surgery (Web)  (Frontiers in Surgery (Web))
巻： 9  ページ： 800082  発行年： 2022年 
JST資料番号： U7100A  ISSN： 2296-875X  資料種別： 逐次刊行物 (A)
記事区分： 原著論文  発行国： スイス (CHE)  言語： 英語 (EN)

抄録/ポイント： 目的:本研究の目的は,肺機能不良の非小細胞肺癌(NSCLC)患者に対する自発換気ビデオ支援胸腔鏡下手術(SV-VATS)の実現可能性と安全性を調査することであった。方法:2011年から2018年までのSV-VATSまたは機械的換気VATS(MV-VATS)を受けた不良肺機能のNSCLC患者を分析した。1:2傾向スコアマッチング(PSM)を適用し,SV-VATS群とMV-VATS群の間の短期および長期転帰を比較した。【結果】麻酔時間(226.18±64.89分対248.27±76.07分;P=0.03),手術時間(140.85±76.07分対163.12±69.37分;P=0.01),術後入院日数(7.29±3.35日対8.47±7.89日;P=0.01),および胸部管使用日数(4.15±2.89日対5.15±3.54日;P=0.01),および全身免疫炎症指数(3855.43±3618.61対2908.11±2933.89;P=0.04)は,SV-VATS群で低かった。全体の生存と無病生存は,2群間で有意差はなかった(OS:HR0.66,95%CI:0.41~1.07,P=0.09;DFS:HR0.78,95%CI:0.42~1.45,P=0.43)。結論:比較可能な短期および長期転帰は,SV-VATSが実行可能で安全な方法であり,肺機能不良のNSCLC患者を管理する場合,MV-VATSの代替になるかもしれないことを示した。Copyright 2022 The Author(s) All rights reserved. Translated from English into Japanese by JST.【JST・京大機械翻訳】

シソーラス用語： 安全性 ,  *換気 ,  炎症 ,  比較 ,  *録画装置 ,  *非小細胞肺癌 ,  *胸腔鏡下手術 ,  手術時間
準シソーラス用語： 無病生存 ,  換気困難 ,  長期予後 ,  *肺機能 ,  術後在院日数 ,  麻酔時間 ,  傾向スコアマッチング , 【Automatic Indexing@JST】

著者キーワード (5件)： 自発換気ビデオ支援胸腔鏡下手術 ,  低肺機能 ,  非小細胞肺癌 ,  NSCLC ,  NIVATS

分類 (2件)： 腫ようの外科療法  (GE03033T) ,  呼吸器の腫よう  (GI04000G)

引用文献 (51件)：

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タイトルに関連する用語 (9件)： 低肺機能 ,  非小細胞肺癌 ,  患者 ,  換気 ,  ビデオ ,  支援 ,  胸腔鏡下手術 ,  短期 ,  長期