免内镜缝合切割器电视胸腔镜肺楔形切除术初探  

Preliminary study of video assisted thoracopic pulmonary wedge resection without using Endo GIA (report of 7 cases)

作　　者：付裕[1] 英秀梅[1] 王志辉[1] 魏成宽[1] 

机构地区：[1]吉林省前卫医院胸外科,长春130012

出　　处：《中国实用医药》2008年第35期30-31,共2页China Practical Medicine

摘　　要：目的探讨免内镜缝合切割器(Endo GIA)电视胸腔镜(VATS)肺楔形切除术的可行性和价值。方法分析从2005年2月至2007年5月不用Endo GIA行电视胸腔镜肺楔形切除术治疗肺部外周型良性结节7例的临床资料。结果7例均顺利完成手术,无中转开胸手术,平均手术时间72min,术后留置胸管平均时间46h,术后平均住院5.1d,术后病理:肺结核瘤4例、肺错构瘤2例、肺炎性假瘤1例。出院后随访1～11个月,无复发或并发症发生。结论不用Endo GIA电视胸腔镜肺楔形切除术是诊治肺外周型良性结节的一种安全可靠的新方法,具有创伤小、痛苦轻、恢复快及节省医疗费用等优点,适宜在我国广大不发达地区开展。Objective To discuss the feasibility and value of a new procedure-video assisted thoracopic （VATS） pulmonary wedge resection without using Endo GIA. Methods From February 2005 to May 2007,7 patients whose preoperative diagnosis were peripheral benign nodes, including 4 males and 3 females, underwent VATS pulmonary wedge resection without using Endo GIA. Results All procedures were accomplished. There was no conversion to thoracotomy. The average of operation time was 72 rain. The average of duration of thoracic drainage time was 46 hours. Mean postoperative hospitalizion was 5.1 days. Pathologic diagnosis were as follows： tuberculosis for 4, hamartoma for 2 and inflammatory pseudotumor for 1. There were no incidence of postoperative complication and mortality. Conclusion The result of this study suggests that video assted thoracopic pulmonary wedge resection without using Endo GIA is acceptable approach in the diagnosis and treatment of peripheral benign nodes.

关 键 词：电视胸腔镜 肺楔形切除术 内镜缝合切割器 

分 类 号：R655[医药卫生—外科学]