胸腔镜外科临床应用体会(附256例报告)  

Experience of Video-assisted Thoracoscopic Surgery(Report of 256 Cases)

作　　者：曲家骐[1] 侯维平[1] 史宁江[1] 高昕[1] 张新生[1] 滕洪[1] 

机构地区：[1]沈阳军区总医院胸外科

出　　处：《中华胸心血管外科杂志》1998年第4期193-195,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：为探讨电视胸腔镜手术（ＶＡＴＳ）治疗胸部疾病的可行性。施行ＶＡＴＳ手术２５６例（手术２６９例次），其中２４５例经胸腔镜完成手术，１１例术中转传统开胸手术。手术疾病包括自发性气胸、食管和肺疾病及胸外伤等１０余种。手术时间１８～１３０分钟，平均６９．１分钟。术后平均住院日９．８天。发生胸部并发症１２例，占４．７％。自发性气胸随访１～４８个月，２例复发。食管癌切除随访１～３１个月，１例术后８个月颈部淋巴结转移。结论：ＶＡＴＳ治疗某些胸部疾病就操作技术而言是可行的。Aim:To evaluate the feasibility of video-assisted thoracoscopic surgery(VATS)in the management of chest diseases.Clinical material and method:From December 1993 to April 1997,269 VATS procedures were performed on 256 patients.Among these,254 procedures completed by VATS and 11 were converted into open thoracotomy during operation.The most common diseases were spontaneous pneumothorax,esophageal diseases and mediastinal tumors.Result:There were no operative deaths.The mean operating time was 68.8 minutes(range 18 to 130 minutes).The mean postoperative hospital stay was 9.8 days(range 6 to 18 days)and the mean duration of chest drainage after surgery was 2.7 days.Postoperative complications occurred in 12 cases with a morbidity rate of 4.7%.Persistent air leak(over 7 days)was the commonest complication(60%).Conclusion:VATS is a safe and effective technique for some selected chest diseases.

关 键 词：胸腔镜外科 电视胸腔镜手术 临床应用 胸部疾病 

分 类 号：R655[医药卫生—外科学] R616[医药卫生—临床医学]