内镜用直线切割缝合器在全胸腔镜肺叶切除术中的应用  

Application of endoscopic linear cutter stapler with the whole VATS lobectomy

作　　者：吴云舒[1] 

机构地区：[1]河南省胸科医院微创外科,郑州450003

出　　处：《国际医药卫生导报》2014年第7期978-980,共3页International Medicine and Health Guidance News

摘　　要：目的 讨论内镜用直线切割器在全胸腔镜肺叶切除术中的运用.方法 通过回顾性分析64例患者全胸腔镜肺叶切除术中内镜用直线切割缝合器的临床运用过程,讨论内镜用直线切割缝合器的运用.结果 本组64例患者除1例中转开胸外,其余均在全胸腔镜下完成.患者术中未出现大出血,术后亦未发生活动性出血、支气管胸膜瘘、持续漏气以及严重金属异物反应情况.4例患者在术后48～72 h发生肺不张;2例患者出现乳糜胸.对患者采取针对性措施后,症状消失或缓解.本组完成内镜用直线切割缝合器钉合切割共401次,平均每例6.29次.所有患者均获得随访,平均随访6.5月,患者未发生严重并发症.结论 内镜用直线切割缝合器在全胸腔镜肺叶切除术中具有广泛的运用价值.在运用中,要严格按照规范程序操作,以获得更好的治疗效果.Objective To discuss the application of endoscopic linear cutter with the whole thoracoscopic lobectomy.Methods Retrospective analysis was conducted to 64 patients with total thoracoscopic lobectomy in endoscopic linear cutter stapler with the clinical application process,and we discussed endoscopic linear cutter stapler with use.Results 64 patients were converted to open the chest except one,the rest were in total thoracoscopic complete.Patients with intraoperative bleeding were not found,nor postoperative active bleeding,bronchial fistula,persistent air leak and severe metallic foreign body reactions.Four patients in the postoperative 48-72 h atelectasis; 2 patients with chylothorax.By taking specific measures for patients,the symptoms disappeared or alleviated.The group completed using endoscopic linear cutter stapler stapling 401 times with an average of 6.29 times.All patients were followed for an average of 6.5 months in patients without serious complications.Conclusion Endoscopic linear stapler with the whole thoracoscopic lobectomy has wide application value.It must be strictly used in accordance with standard operating procedures,to obtain a better therapeutic effect.

关 键 词：全胸腔镜肺叶切除术 内镜用直线切割缝合器 钉合切割 

分 类 号：R655.3[医药卫生—外科学]