3cm单孔胸腔镜在解剖性肺段切除术中的应用  

Application of 3-cm Uniportal Video-assisted Thoracoscopic Anatomical Segmentectomy

作　　者：张瑞杰[1] 蔡奕欣[1] 张霓[1] 付圣灵[1] 祖育昆[1] 付向宁[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院胸外科,武汉430030

出　　处：《中国微创外科杂志》2016年第1期50-52,56,共4页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨3 cm单孔胸腔镜下解剖性肺段切除的可行性和安全性。方法 2014年9月~2015年1月,实施3 cm单孔胸腔镜下解剖性肺段切除术15例,在腋中线第5肋间做3 cm切口置入胸腔镜行解剖性肺段切除术,标本取出后送快速冰冻切片,明确病理性质,以及支气管残端、段切缘有无残留。结果 15例均顺利完成手术,无中转开胸。手术时间（139.4±32.6）min;术中出血量（160.2±48.1）ml;术后胸腔引流管留置（2.9±0.9）d;术后住院时间（10.6±0.8）d。结论3 cm单孔胸腔镜下解剖性肺段切除术安全、可行,其进一步的推广应用还需要更多的病例及研究支持。Objective To study the feasibility and safety of application of 3-cm uniportal video-assisted thoracoscopic anatomical segmentectomy. Methods A total of 15 patients underwent uniportal video-assisted thoracoscopic segmentectomy in our hospital between September 2014 and January 2015. A 3-cm incision was made at the fifth intercostal space on the midaxillary line to insert the thoracoscope for anatomical segmentectomy. Intraoperative freezing section pathology was performed to check the lesion properties and whether the bronchial stump and the cutting edge of segment had residual tumor. Results All the operations were preformed successfully. No intraoperative conversion to thoracotomy was required. No postoperative complications were observed. The mean operation time was（ 139. 4 ± 32. 6） min,the mean intraoperative blood loss was（ 160. 2 ± 48. 1） ml,the mean thoracic drainage time was（ 2. 9 ± 0. 9） d,and the mean postoperative hospital stay was（ 10. 6 ± 0. 8） d. Conclusion Uniportal video-assisted thoracoscopic anatomical segmentectomy is safe and feasible,but further investigation is needed for its clinical promotion.

关 键 词：单孔 电视辅助胸腔镜手术 肺段切除 

分 类 号：R734.2[医药卫生—肿瘤]