| 熊焱正,刘建,陈剑,等.单孔胸腔镜在肺部疾病中的临床应用[J].安徽医药,2017,21(6):1054-1057. |
| 单孔胸腔镜在肺部疾病中的临床应用 |
| Clinical application of uniportal video-assisted thoracoscopic surgery in pulmonary diseasesXIONG Yanzheng,LIU Jian,CHEN Jian,ZHAN Bicheng,LIU Yongzhi,WANG Xiao (Department of Cardiothoracic Surgery,Anqing Municipal Hospital,Anqing,Anhui 246003,China) Abstract:Objective |
| 投稿时间：2016-09-22 |
| DOI： |
| 中文关键词: 单孔胸腔镜 肺叶切除 肺局部切除 肺部疾病 |
| 英文关键词: Uniportal video-assisted thoracoscopic surgery Lobectomy Partial lung resection Pulmonary disease |
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| 中文摘要: |
| 目的 探讨单孔胸腔镜手术在治疗肺部疾病中的可行性及安全性。 方法 选择采用单孔胸腔镜手术治疗肺部疾病69例病人,病种包括肺癌、自发性气胸、肺隔离症、支气管扩张等8种疾病。行肺叶切除29例,肺局部切除40例。 结果 肺叶切除平均手术时间(170±32) min,术中平均出血量(205±145) mL,术后平均留置胸管时间(3.7±2.1) d,术后平均住院时间(8.3±3.1) d,术中1例被迫中转开胸,术后8例合并胸腔积液需再次处理。局部切除平均手术时间(64±32) min,术中平均出血量(68±23) mL,术后平均留置胸管时间(3.0±1.9) d,术后平均住院时间(5.7±1.8) d,术后1例出现持续性漏气,经保守治疗后痊愈。全组无其他并发症及围手术期死亡,随访3～12月均恢复良好,气胸病人无复发。 结论 单孔胸腔镜在治疗肺部疾病中安全可行,是一种更加微创的手术方式,近期效果满意,值得在临床上推广。 |
| 英文摘要: |
| Objective To explore the feasibility and safety of uniportal video-assisted thoracoscopic surgery (VATS) in the treatment of lung diseases. Methods 69 patients with pulmonary diseases were underwent uniportal VATS,29 cases of lobectomy and 40 cases of partial lung resection,including 8 kinds of diseases,such as lung cancer,pulmonary sequestration,bronchiectasis and so on. Results The average operation time of lobectomy was (170±32) min,the average intraoperative blood loss was (205±145) mL,the average postoperative thoracic drainage time was (3.7±2.1)days,the average postoperative hospital stay was (8.3±3.1) days.Only one case converted to open approach while 8 patients needed to be treated again with pleural effusion.The mean time of partial lung resection surgery was (64±32)min,the mean intraoperative bleeding was (68±23) mL,the mean thoracic drainage time was (3.0±1.9)days,and the mean postoperative hospital stay was(5.7±1.8)days.One case of persistent postoperative leakage recovered after conservative treatment.There were no other complications and death occurred.Followed up for 3-12 months,all patients recovered well and no recurrence of pneumothorax. Conclusion The uniportal video-assisted thoracoscopic surgery in pulmonary resection is safe and feasible.It is a new minimally invasive surgical approach with satisfactory short-term outcome,and it is worth to be applied in pulmonary diseases. |
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