电视胸腔镜手术在胸部疾病中的应用探讨  

Clinical evaluation of video-assisted thoracoscopic procedure for chest diseases

作　　者：陈海涛[1] 陈中元[1] 任健[1] 郑明华[2] 

机构地区：[1]上海第二医科大学附属瑞金医院心胸外科,200092 [2]上海第二医科大学附属瑞金医院普外科,200092

出　　处：《上海医学》2002年第9期578-580,共3页Shanghai Medical Journal

摘　　要：目的　探讨电视胸腔镜手术 (VATS)在胸部疾病治疗中的应用。方法　我院 1994年 11月～2 0 0 1年 9月对 12 7例胸部疾病患者施行VATS ,其中肺大泡切除 5 5例 ,血气胸治疗 2 8例 ,肺楔形切除术 13例 ,纵隔肿瘤摘除术 12例 ,心包开窗术 7例 ,胸膜活检及剥离术 4例 ,动脉导管未闭钳闭术 3例 ,食管手术 3例 ,急性脓胸冲洗术 2例。手术均在全麻下进行 ,胸内操作的治疗要求及结果与常规开胸手术一致。结果　患者术后平均住院天数为 6.3d ,手术期并发症为 0 .78% ,全组无手术死亡。结论　VATS是一种创伤小 ,痛苦少 ,恢复快 ,并发症少 。Objective To investigate the role of vedio assisted thoracoscopic procedure in the diagnosis and therapeutic measure of chest diseases. Methods Vedio assisted thoracoscopic procedure was initiated in 127 patients from Nov. 1994 to Sept. 2001. The diseases being operated included pulmonary bullae(55), hemopneumothorax (28), lung tumor(13), mediastinal tumor(12), pericardial fenestration(7), pleural decortication(6), patent ductus arteriosus(3), benign esophageal diseases(3) etc. All procedures were performed under general anesthesia. The intrathoracic manipulation and the results were equivalent to the open chest surgery.Results The mean hospitalization period after operation was 6.3 days. Intraoperative complication rate was 0.78% without mortality. Conclusion The video assisted thoracoscopic approach is going to be one of the advanced technique of choice for those having chest diseases.

关 键 词：胸部疾病 电视胸腔镜手术 临床应用 手术方法 食管手术 肺手术 纵隔手术 心脏手术 

分 类 号：R655[医药卫生—外科学]