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SV-VATS exhibits dual intraoperative and postoperative advantages.


ABSTRACT:

Background

The merits of spontaneous ventilation video-assisted thoracic surgery (SV-VATS) are still controversial. Our team retrospectively evaluated the intraoperative and postoperative advantages of this surgical approach, comparing with mechanical ventilation video-assisted thoracic surgery (MV-VATS).

Methods

We did a single center retrospective study at the First Affiliated Hospital of Yunnan Province. 244 patients were eventually assigned to the SV-group and MV-group, and their intraoperative indicators and thoracic surgery postoperative data were included in the comparison.

Results

The SV-group exhibited markedly less intraoperative bleeding and postoperative thoracic drainage, and the bleeding volume was correlated with the volume and duration of drainage. Further analysis showed that, patients undergoing SV-VATS had less activation of white blood cells and neutrophils after surgery, but they also had lower serum albumin concentrations. Risks of short-term postoperative complications, including inflammatory reactions, malignant arrhythmias, constipation, and moderate or more pleural effusions, were also significantly reduced in the SV-group. Additionally, hospitalization cost was lower in the SV-group than that in the MV-group.

Conclusions

SV-VATS is suitable for various types of thoracic surgery, and effectively reduce intraoperative bleeding and postoperative thoracic drainage. With less postoperative inflammatory response, it reduces the risk of short-term postoperative complications. It is also able to help to reduce the financial burden of patients.

SUBMITTER: Xu JY 

PROVIDER: S-EPMC8267287 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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Publications

SV-VATS exhibits dual intraoperative and postoperative advantages.

Xu Jia-Yang JY   Li Yu-Jin YJ   Ning Xian-Gu XG   Yu Yang Y   Cui Feng-Xian FX   Liu Rong-Sheng RS   Peng Hao H   Ma Zhan-Shan ZS   Peng Jun J  

Annals of translational medicine 20210601 12


<h4>Background</h4>The merits of spontaneous ventilation video-assisted thoracic surgery (SV-VATS) are still controversial. Our team retrospectively evaluated the intraoperative and postoperative advantages of this surgical approach, comparing with mechanical ventilation video-assisted thoracic surgery (MV-VATS).<h4>Methods</h4>We did a single center retrospective study at the First Affiliated Hospital of Yunnan Province. 244 patients were eventually assigned to the SV-group and MV-group, and th  ...[more]

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