Acute and chronic pain after subxiphoid versus transcostal thoracoscopic extended thymectomy: A propensity score matching study
- VernacularTitle:经剑突下与经肋间入路胸腔镜胸腺扩大切除术后急慢性疼痛比较的倾向性评分匹配研究
- Author:
Jianfei YANG
1
,
2
;
Gaoxiang WANG
3
;
Shanming TAO
1
,
2
;
Liangdong XU
3
;
Mingsheng WU
3
;
Mingran XIE
3
Author Information
1. 1. Graduate School of Wannan Medical College, Wuhu, 241000, Anhui, P. R. China
2. 2. Department of Thoracic Surgery, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, P. R. China
3. Department of Thoracic Surgery, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, P. R. China
- Publication Type:Journal Article
- Keywords:
Thymoma;
thoracoscopic surgery;
extended thymectomy;
postoperative pain;
propensity score matching study
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(06):842-847
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the occurrence of acute and chronic pain after subxiphoid and transcostal thoracoscopic extended thymectomy. Methods A retrospective analysis was performed on 150 patients who underwent thoracoscopic extended thymectomy in our hospital from July 2020 to June 2022, among whome 30 patients received subxiphoid video-assisted thoracic surgery, and 120 patients received transcostal video-assisted thoracic surgery. The patients were matched by the propensity score matching method. Postoperative pain was evaluated by numeric rating scale (NRS). The intraoperative conditions and postoperative pain incidence were compared between the two groups. Results After matching, 60 patients were enrolled, 30 in each group, including 30 males and 30 females with an average age of 50.78±12.13 years. There was no difference in the general clinical data between the two groups (P>0.05), and no perioperative death. There were statistical differences in the intraoperative blood loss, postoperative drainage volume, postoperative catheter duration, postoperative hospital stay, postoperative pain on 1 d, 2 d, 3 d, 7 d, 3 months and 6 months after the surgery (P<0.05), but there was no statistical difference in the operation time or the postoperative 14 d NRS score (P>0.05). Further univariate and multivariate analyses for postoperative chronic pain showed that surgical method and postoperative 14 d NRS score were risk factors for chronic pain at the 3 months and 6 months after the surgery (P<0.05). Conclusion The subxiphoid thoracoscopic extended thymectomy has advantages over transcostal thoracoscopic surgery in the postoperative acute and chronic pain.
