电视胸腔镜临床应用体会  

Experience of video-assisted thoracoscopic surgery

作　　者：仲崇文[1] 彭笑怒[1] 于晓锋[1] 崔永[2] 

机构地区：[1]山东烟台毓璜顶医院胸外科,山东烟台264000 [2]山东大学第二医院胸外科,山东济南350033

出　　处：《中国内镜杂志》2005年第1期58-60,共3页China Journal of Endoscopy

摘　　要：目的为探讨电视胸腔镜手术(VATS)在胸外科临床应用的价值,该文总结两家医院自1998年9月￣2002年10月成功实施的各式VATS共173例。方法173例手术中包括自发性气胸103例,肺活检3例,肺楔形切除术30例,肺叶切除4例,胸腔积液9例,胸膜病变2例,纵隔占位17例,纵隔淋巴结活检3例,外伤肺修补术1例,膈肌修补1例。结果手术过程均顺利,无手术死亡。自发性气胸术后复发3例(1.7%),均经非手术治疗治愈;1例发生复张性肺水肿,亦治愈;未出现其他并发症。结论VATS极大地丰富了胸外科手术的内容,为多种胸外科疾病的诊治提供了一种新途径。但VATS有其自身的局限性,应注意其手术适应证。To discuss the clinical application of video-assisted thoracoscopic surgery (VATS), 173 cases VATS were reported. There were spontaneous pneumochorax 103 cases, lung biopsy 3 cases, pulmonary wedge resection 30 cases, pulmonary lobectomy 4 cases; hydrothorax 9 cases, pleural lesion 2 cases; mediastinum lesion 17 caese, mediastinum lymph node biopsy 3 cases, repair of pulmonary I case, repair of diaphragm 1 case. There were 3 cases recurrence and 1 case pulmonary edema in the spontaneous cases, and no other postoperative complications occurred. There was no perioperative death. [Conclusions] VATS is a helpful method for the treatment of many kinds of thoracic disease.

关 键 词：电视胸腔镜手术 自发性气胸 胸腔积液 肺叶切除 

分 类 号：R561.4[医药卫生—呼吸系统]