Utilities and placement skills of the incision protective sleeve in video-assisted thoracoscopic surgery (VATS)
| Autor: | Qingshan Gao, Chao Wu, Keli Lin, Tianshuo Jiang, Zhiqiang Zhou, Hongliang Bian, Yilei Zhang, Zhiyong Su, Xin Zhao, Fangchao Liu |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry medicine.medical_treatment Software package Surgery medicine.anatomical_structure Port (medical) Multiple factors Incision Site Video-assisted thoracoscopic surgery medicine Operative time Original Article Intercostal space Wall thickness business |
| Zdroj: | J Thorac Dis |
| ISSN: | 2072-1439 |
| Popis: | Background The incision protective sleeve can protect incisions and help to establish an operating port and thus has been widely applied in thoracic surgeries. However, its other utilities are often neglected. This article explores the additional functions and placement techniques of incision protective sleeves in video-assisted transthoracic surgery (VATS). Methods Operators with different surgical experience were divided into three groups: resident group, attending surgeon group, and professor group. Each group independently chose one of the four surgical maneuvers, and the incision protective sleeve was placed during the operation. Up to 200 operations were randomly selected in each group, and the patients' gender, age, incision site, incision length, the operator's experience, and the time and technique of incision protective sleeve placement were recorded. CT was performed to measure the thickness of chest wall and the width of intercostal spaces. Data were analyzed using SPSS 21.0 software package. Multivariate linear regression analysis was performed was performed for the time required for incision protective sleeve placement. Results The operator's experience was inversely related to the time required for incision protective sleeve placement, width of intercostal spaces was negatively correlated with operative time, chest wall thickness and incision length were positively correlated with operative time. Among the maneuvers, incision protective sleeve placement skills were significant different. Conclusions The placement of the incision protective sleeve for VATS is affected by multiple factors, which are not only related to the patient's condition, chest wall thickness and intercostal space, but also closely related to the operator's experience and the manipulation adopted. |
| Databáze: | OpenAIRE |
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