后纵隔良性神经源性肿瘤的胸腔镜手术治疗  

Video-assisted thoracoscopic resection of posterior mediastinal benign neurogenic tumors

作　　者：孙铁伟[1] 葛洪刚[1] 于伟[1] 王俊[2] 

机构地区：[1]哈尔滨242医院胸外科,150066 [2]北京大学人民医院胸外科,100044

出　　处：《航空航天医药》2008年第1期24-25,共2页Aerospace Medicine

摘　　要：目的:探讨胸腔镜在后纵隔神经源性肿瘤治疗中的价值。方法:13例后纵隔良性神经源性肿瘤病人行胸腔镜手术切除。全麻双腔气管插管,操作套管根据肿瘤位置而定,如肿瘤过大,可辅助小切口取出。结果:11例经胸腔镜顺利完成肿瘤切除,其余6例附加6cm小切口完成手术;神经鞘瘤6例,神经纤维瘤4例;神经节细胞瘤4例;肿瘤直径平均3.6cm(2cm-8cm);术后平均胸腔闭式引流2.2d(1-7d),术后平均住院6d(3-13d)。轻微并发症3例,无死亡。结论:胸腔镜切除后纵隔良性神经源性肿瘤安全、可靠、创伤小,可作为该疾病的首选治疗方法。Objective：rio evaluate the procedure of video- assisted horaeoscopic（VAT）resecfion of posterior mediastinal benign neurogenic tumors.Methods： 13 patients received VAT posterior mediastinal tumor resections.Double lumen endotroeheal intubation was adopted and 3 troear ports were made according to the location of the tumor.A small incision of 6 em was added if the tumor was too large to the draw out.Results：Totall VAT resections were completed in 11 eases while 6 needed a 6era small incision each to facilitate withdrawing of the tumor.Pathological examination showed 6 eases of neurilemoma together with 4 neurofibroma and 3 paraganglioma, The great diameter of these tumors was 2 to 8（average 3.6）cm.Mean chest tube drainage time was 2.2（1 - 7）days.Mean post operative days were 6（3 - 13）.Only 3 experienced transient minor compieafions.There was no mortality in this group. Concluslons：Videoassistrd thoracoseopie resection of posterior mediasfinal benign neurogenie tumor was safe,reliable and minimally invasiv which can be made the first choice of surgical method.

关 键 词：纵隔 神经源良性肿瘤 胸腔镜 

分 类 号：R655.5[医药卫生—外科学]