基层医院开展胸腔镜肺叶切除的经验总结  

Experience of video-assisted thoracoscopic lobectomy surgery in primary hospital

作　　者：刘士学[1] 朱健[1] 孙长海[1] 谢怀顺[1] LIU Shi-xue ZHU Jian Sun Chang-hai XIE Huai-shun(Department of Cardiothoracic Surgery, Huainan First People＇s Hospital, Huainan, Anhui 232000, Chin)

机构地区：[1]淮南市第一人民医院心胸外科,安徽淮南232000

出　　处：《临床肺科杂志》2017年第6期1003-1005,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的总结在基层医院开展胸腔镜(video-assisted thoracic surgery,VATS)肺叶切除手术与传统开胸肺叶切除的临床经验。方法通过分析同时期VATS肺叶切除18例患者以及传统开胸肺叶切除10例患者的临床资料,对比两组患者的住院时间、手术时间、术中出血量、术后拔管天数以及术后并发症发生率。结果两组患者在手术时间、术中出血量、术后拔管天数均无统计学差异(P>0.05)。住院时间,VATS组要明显少于传统开胸组(9.9±2.6d VS18.4±7.8d),统计学有明显差异(P<0.05)。术后总的并发症发生率,VATS组也要小于传统组(11.1%vs 30%)。结论在基层医院开展早期胸腔镜肺叶手术过程中,VATS肺叶切除术具有传统开胸手术相似的临床效果,且创伤小、住院时间短、术后并发症少等优点。Objective To compare the clinical effect of video - assisted thoracic surgery （VATS） and the traditional open - thoracotomy in primary hospital. Methods The clinical data of 18 patients with VATS lobectomy and 10 patients with conventional lobectomy were analyzed. Their duration of hospital stay, operation time, intraoper- ative blood loss, postoperative extubation days and postoperative complications were compared. Results There was no significant difference in operation time, intraoperative blood loss or postoperative extubation days between the two groups （ P 〉0.05 ）. However, the duration of hospital stay was significantly lower in the VATS group than in the conventional thoracotomy group （ 9.9 ＋ 2.6d Vs 18.4 ＋ 7.8d） （ P 〈 0.05 ）. The overall incidence of postoperative complications was lower in the VATS group than in the conventional group （11. 1% Vs 30% ）. Conclusion VATS lobectomy has the same clinical effect as traditional thoracotomy at the early stage of video -assisted thoracic surgery in primary hospital, and it has the advantages of minimally invasive, shorter hospital stay and less complications.

关 键 词：肺叶切除术 胸腔镜手术 传统开胸手术 胸腔镜学习曲线 

分 类 号：R655.3[医药卫生—外科学]