电视胸腔镜下肋骨肿瘤切除24例  

Resection of rib tumors by video-assisted thoracoscopic surgery (24 case reports)

作　　者：张强[1] 宋磊[1] 谢昊[1] 宁少南[1] 李楠[1] Zhang Qiang;Song Lei;Xie Hao;Ning Shaonan;Li Nad(Department of Thoracic Surgery, Beijing Jishuitan Hospital, Beijing 100035, China)

机构地区：[1]北京积水潭医院胸外科,100035

出　　处：《中华胸心血管外科杂志》2019年第6期354-356,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的探讨电视胸腔镜辅助微创切除胸壁肿瘤的可行性。方法2013年6月至2017年5月,24例胸壁肿瘤患者行电视胸腔镜辅助微创切除治疗,其中骨纤维异样增殖症13例,肋骨纤维结构不良7例,软骨瘤2例,朗格汉斯组织细胞增生症1例,髓外单发浆细胞瘤1例。3例术中C型臂定位,4例术中计算机导航定位。结果24例患者均顺利切除肋骨肿瘤,无手术死亡及严重并发症。随访1~3年,均无复发。结论胸腔镜辅助切除肋骨肿瘤可行,可微创精确切除,减小损伤。Objective To explore the possibility of minimally invasive resection of chest wall tumor by video-assisted thoracoscopic surgery ( VATS). Methods Retrospective analysis of 24 cases of chest wall tumors with minimally invasive resection by VATS from June 2013 to May 2017 , including 13 cases of bone fibrous dysplasia, 7 cases of rib abnormal hyperplasia of fiber, 2 cases of cartilaginous tumor, 1 case of Langerhans histiocytosis and 1 case of extramedullary single plasma cell tumor. 3 cases with C arm positioning in operation and 4 cases with computer navigation and positioning. Results 24 cases of rib tumors were successfully removed. No surgical death and serious complications occurred in this group. All patients followed up 1-3 years, there is no recurrence. Conclusion Resection of rib tumors with VATS can bring precise resection and lead to minimally invasive.

关 键 词：肋骨肿瘤 胸腔镜外科手术 

分 类 号：R738[医药卫生—肿瘤]