电视胸腔镜在胸外科的应用  

THE APPLICATION OF VIDEO-ASSISTED THORACIC SURGERY (VATS) IN THORACIC DISEASES

作　　者：郑梦利[1] 周乃康[1] 崔忠厚[1] 梁朝阳[1] 戴为民[1] 柳曦[1] 

机构地区：[1]解放军总医院,北京100853

出　　处：《解放军医学杂志》2002年第9期843-845,共3页Medical Journal of Chinese People's Liberation Army

摘　　要：分析资料完整的 2 0 4例电视胸腔镜外科 (VATS )手术 ,根据疾病类型、麻醉及手术方式、并发症、结果等进行回顾性临床分析 ,评价近期结果。本组经VATS进行诊断、治疗均取得满意结果 ,没有手术并发症及死亡发生 ;手术时间平均为 110min,术后胸腔闭式引流平均 2天拔管 ,平均住院 9天 ;病人术后恢复均顺利。作者认为 ,VATS作为一种微创手术技术 ,在多种胸外科疾病的诊治过程中安全、并发症少 ;经过数年的临床实践 ,VATS已成为胸外科手术的标准术式和不可分割的一部分 ;VATS对胸部恶性肿瘤的治疗效果尚有争议 ,有待于进一步临床观察。In this paper the authors submitted their experience in application of video assisted thoracic surgery (VATS) in 204 cases at the surgical clinic of the General Hospital of PLA (Oct.1992 Jun.2002). A retrospective analytic study was carried out to assess the value of VATS in terms of the diseases and the surgical anesthesia, operation modes, complications and result. A satisfying result in the group was obtained in each of the cases. There was no operative mortality or morbidity. The mean operation time was 110 minutes, the overall median duration of chest tube drainage was 2 days, and the mean hospitalization time was 9 days. The postoperative recovery was uneventful. As a minimally invasive surgical technique with very low morbidity, VATS is worth considering and has been established as a procedure of choice with exceptional results in various chest diseases. Our experience confirms the safety of VATS in both diagnostic and therapeutic procedures. Due to progress over the past several years, VATS is by now a standard surgical procedure in thoracic surgery, and has become an inseparable part of thoracic surgery. There are differences of opinion with regard to major pulmonary and esophageal resections for cancer, thus further clinical investigation deserves to be carried out.

关 键 词：胸外科学 电视辅助 胸腔镜检查 外科手术 最小侵入性 

分 类 号：R655[医药卫生—外科学]