206例单孔胸腔镜肺癌根治术无并发支气管胸膜瘘  

No Postoperative Bronchopleural Fistula Secondary to Radical Resection of Lung Cancer Under Uniportal Video-Assisted Thoracoscopic Surgery in 206 Consecutive Patients

作　　者：王一飞 朱雪娟[1] 赵婷 杨文涛[1] 施立[1] 桑永华[1] 陈勇兵[1] WANG Yi-fei;ZHUXue-juan;ZHAO Ting;YANG Wen-tao;SHI Li;SANG Yong-hua;CHEN Yong-bing(Department of Thoracic Surgery,the Second Affiliated Hospital of Soochow University,Suzhou,Jiangsu,215004,China)

机构地区：[1]苏州大学附属第二医院胸心外科,江苏苏州215004

出　　处：《中国血液流变学杂志》2019年第1期75-78,共4页Chinese Journal of Hemorheology

摘　　要：目的 探讨和总结避免单孔胸腔镜肺癌根治术后发生支气管胸膜瘘的经验.方法 回顾性分析苏州大学附属第二医院2017年1月-2018年2月接受单孔胸腔镜肺癌根治术206 例患者的临床资料.结果 206 例患者中施行肺楔形切除术71 例,肺段切除术14 例,肺叶切除术7 例,肺叶切除术联合淋巴结清扫103 例,袖式肺叶切除联合淋巴结清扫术11 例,术后效果良好,无患者并发支气管胸膜瘘,并发肺不张8 例,肺炎26 例,经积极治疗后均好转出院.结论 充分的术前准备,规范的手术操作尤其是支气管残端的处理,以及术后正确的治疗和护理是预防单孔胸腔镜肺癌根治术后支气管胸膜瘘的关键.Objective To discuss and summarize how to avoid postoperative bronchopleural fistula (BPF) secondary to radical resection of lung cancer under uniportal video-assisted thoracoscopic surgery (VATS). Methods 206 consecutive patients' clinical information was retrospectively analyzed who underwent radical resection of lung cancer under uniportal VATS in the Second Affiliated Hospital of Soochow University during January 2017 to February 2018. Result Among the 206 patients on whom uniportal VATS was performed, 71 underwent wedge resection, 14 underwent segmentectomy, 7 underwent lobectomy, 103 underwent lobectomy with lymphadenectomy, and 11 underwent sleeve resection with lymphadenectomy. Postoperative BPF occurred in none of them. Other complications include pulmonary atelectasis in 8 patients and pneumonia in 26 patients. All patients were discharged after active and timely treatment. Conclusion Full preoperative preparation, standardized surgical procedures especially the manipulation on bronchial stumps, as well as the correct postoperative treatment and nursing are key points to prevent BPF after radical resection of lung cancer under uniportal VATS.

关 键 词：单孔肺癌根治术 电视胸腔镜 支气管胸膜瘘 

分 类 号：R734.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]