市级医院胸腔镜微创技术治疗胸部疾病  

Treatment of chest disease with video-assisted thoracoscopic surgery in municipal Hospital

作　　者：王毅[1] 杨彦辉[1] 罗雷[1] 谢晓阳[1] 

机构地区：[1]四川省内江市第一人民医院,重庆医科大学内江附属医院胸外科,四川内江641000

出　　处：《中国胸心血管外科临床杂志》2017年第9期725-729,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家卫生科研专项项目(20130216);内江市科技支撑计划项目(2016107)

摘　　要：目的探讨市级医院开展胸腔镜微创技术治疗胸部疾病的安全性、可行性及学习曲线。方法回顾性分析2009年9月至2016年9月四川省内江市第一人民医院胸外科行胸腔镜手术591例患者的临床资料,男378例、女213例,年龄14~82岁。结果所有患者均顺利完成手术,其中中转开胸12例,中转率2.0%;术后共出现严重并发症24例(4.1%);围手术期死亡4例,死亡率0.7%。胸腔镜肺癌根治术学习曲线约为25例,胸腹腔镜联合食管癌根治术学习曲线约为15例。结论市级医院开展胸腔镜微创技术安全、可行,有推广价值。Objective To explore the safety, feasibility and learning curve of video-assisted thoracoscopic surgery（VATS） in treatment of thoracic diseases. Method We retrospectively analyzed the clinical data of 591 patients of thoracic surgery in our hospital between September 2009 and September 2016. There were 378 males and 213 females at age of 14-82 years. Result All patients were successfully completed surgery. Twelve patients converted to open chest with conversion rate of 2.0%. Postoperative complications occurred in 24 patients （4.1%）. Four patients died during the perioperative period, and mortality rate was 0.7%. The learning curve of VATS for lung cancer was about 25 patients. And the learning curve of video-assisted laparoscopy for resection of esophageal cancer was about 15 patients. Conclusion VATS is safety and feasible for the chest disease patients in municipal hospital, and is worthy to popularize.

关 键 词：市级医院 胸腔镜 胸部疾病 

分 类 号：R655[医药卫生—外科学]