完全胸腔镜胸顶部良性神经源性肿瘤切除  

Completely Thoracoscopic Resection of Benign Neurogenic Tumors on Apical Chest

作　　者：徐沁孜[1] 朱珉[1] 付向宁[1] 汤应雄[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院普胸外科,武汉430030

出　　处：《华中科技大学学报（医学版）》2010年第1期130-132,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的探讨应用完全胸腔镜技术行胸顶部良性神经源性肿瘤切除术的可行性、安全性、技术要点及临床疗效。方法2004年1月至2009年6月,胸顶部良性神经源性肿瘤患者11例,其中完全胸腔镜切除5例,传统开胸切除6例,通过对临床症状、肿瘤类型、并发症、手术时间、出血量、术后引流管留置时间、术后住院时间等资料进行分析,比较完全胸腔镜和传统开胸行胸顶部良性神经源性肿瘤切除术的优缺点。结果胸腔镜组和开胸组术后各有1例轻微的一过性Horner综合征,均自行缓解消失。胸腔镜组手术时间、术中出血量、引流管留置时间、术后住院时间均优于开胸组。结论对于胸顶部良性神经源性肿瘤,完全胸腔镜切除与传统开胸切除同样安全有效,完全胸腔镜手术创伤更小,恢复较快。Objective To discuss the feasibility,safety,technical points and clinical effects of completely thoracoscopic re section of benign neurogenic tumors on apical chest. Methods From January 2004 to June 2009,11 patients underwent surgical resection of benign neurogenic turnouts on apical chest. A complete thoracoscopy was used in 5 cases,and the remaining 6 cases received traditional open thoracotomy. By analysis on the clinical symptoms, tumor types, complications, operative time, blood loss and drainage time after operation,the advantages and disadvantages of complete thoracoscopy were compared to traditional open thoracotomy for resection of benign neurogenic tumors on apical chest. Results There was one patient in each group that suffered from light transient Horner＇s syndrome, who recovered spontaneously. The group of complete thoracoscopy was superior to the group of traditional open thoracotomy in operative time,blood loss during the operation,drainage time and postopera tive hospital stay. Conclusion For benign neurogenic tumors on apical chest,a resection with complete thoracoscopy is as safe and effective as the traditional open thoracotomy,and the former is characterized by less operative trauma and quicker recovery.

关 键 词：完全胸腔镜手术 胸顶部良性神经源性肿瘤 微创 

分 类 号：R655[医药卫生—外科学]