经剑突下单孔胸腔镜肺切除术93例  

Subxiphoid uniportal video-assisted thoracoscopic surgery（VATS） for lung resection： a report of 93 cases

作　　者：宋楠[1] 赵德平[1] 蒋雷[1] 鲍熠[1] 戴洁[1] 姜格宁[1] 朱余明[1] 丁嘉安[1] 

机构地区：[1]上海同济大学附属上海市肺科医院胸外科,200433

出　　处：《中华胸心血管外科杂志》2016年第3期129-131,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的探讨经剑突下单孔VATS肺切除手术的可行性及优势。方法回顾性分析2014年8月至今，93例经剑突下单孔VATS肺切除术的临床资料。结果单侧手术83例，双侧手术10例，手术顺利。无术中及术后严重并发症，术后8h、第1、2、3天及出院前的平均疼痛指数分别为2．37±0．94、2．03±0．86、1．66±0．84、1．20±0．80和0．46±0．51，相比对照组（侧胸单孔VATS）各时间点疼痛指数显著降低（P〈0．001）。结论经剑突下单孔胸腔镜肺切除术，手术安全可靠，更适用于双侧肺部病变，明显减轻了患者术后切口的疼痛。Objective To discuss the possibility and advantage of subxiphoid uniportal video-assisted thoracoscopic sur- gery（VATS） for lung resection. Methods Since August 2014, 93 cases of subxiphoid uniportal VATS lung resection were successfully performed. The clinical information was retrospectively analyzed. Results 83 cases underwent unilateral operation and 10 underwent bilateral operations. Surgeries were successfully performed, without intraoperative or postoperative complica- tions. The average pain scores of 8 hours, day 1,2 and 3 after surgery, as well as the day before discharge were 2.37 ± 0.94, 2.03 ± 0.86,1.66 ± 0.84,1.20 ± 0.80, and 0.46 ± 0.51, respectively, which were significantly lower than those in the con- trel group （ intercostal uniportal VATS） （ P 〈 0. 001 ）. Conclusion The subxiphoid uniportal VATS lung resection is safe and reliable, which is appropriate for bilateral lung diseases, and significantly relieves the postoperative incision pain.

关 键 词：肺切除术 胸外科手术 胸腔镜辅助 剑突下 单孔 

分 类 号：R655.3[医药卫生—外科学]