单操作孔胸腔镜孤立性肺结节的诊治  

Uniportal video-assisted thoracic surgery for diagnosis and treatment of solitary pulmonary nodule

作　　者：麻成方[1] 陈亮[1] 李志华[1] 魏春勇[1] 汪礼旭[1] 洪琼川[1] 

机构地区：[1]深圳市龙岗中心医院(深圳市第九人民医院)心胸外科,广东深圳518116

出　　处：《现代肿瘤医学》2014年第2期335-336,共2页Journal of Modern Oncology

摘　　要：目的:探讨单操作孔全胸腔镜手术诊治孤立性肺结节的可行性。方法:回顾分析2008年7月至2011年12月间42例孤立性肺结节经胸腔镜手术的临床资料。胸腔镜操作孔位于腋前线第4或5肋间,长约1.5-3.0cm,观察孔位于腋中线第7和8肋间,约1.0-1.5cm,经单一操作孔完成手术。术中冰冻检查若为良性结束手术;若为恶性则扩大手术。结果:42例患者中(肺部良性肿瘤28例、恶性肿瘤14例)单操作孔手术38例,术中改传统三孔手术4例,无中转开胸。手术时间30-160min,平均(65±12)min;术中出血10-240ml,平均(85±30)ml。术后患者均顺利恢复,未出现严重并发症。结论:单操作孔胸腔镜手术进一步减轻了创伤,可以完成孤立性肺结节的诊断与治疗,安全可行,值得推广。Objective：To study the clinical feasibility and application of uniportal video - assisted thoracic surgery （VATS） for diagnosis and treutment of s olitary pulmonary nodule. Methods：To analyze the clinical findings of 42 pafinets with solitary pulmonary nodule treated by VATS. The operation incision was taken between the 4^th - 5^th costal space of anterior axillary line in 1.5 - 3.0cm long. The observasion incision was made between the 7^th - 8^th costal space of middle axillarylinein 1.0 - 1.5cm long. All procedures were performed through the single operation incision. The suregery was completed according to the fast iced pathologic examination. Results：Of the 42 cases, with pulmonary benign tulnour in 28, with malignant tulnour in 14.38 patients underwent uniportal VATS while 4 patients were operated with threeports VATS. Operative time was 30 - 160min,average of （65 ± 12） rain. iutraoperutive blood loss 10 - 240ml, average of （85 ± 30） Inh All putients recovered smoothly without severe complicutions. Conclusion： Uniportal VATS appears to be tolerable, safe and efficient in diagnosis and treating solitary pulmonary nodule with minimal invasive and should be accepted as the alternative treutment.

关 键 词：单操作孔 胸腔镜手术 孤立性肺结节 

分 类 号：R730.8[医药卫生—肿瘤] R734.2[医药卫生—临床医学]