平行位单孔胸腔镜肺叶切除术的初步探究  

Preliminary study on pulmonary lobectomy by uniportal videoassisted thoracoscope in parallel position

作　　者：林镇阳 徐松涛 逄旭光 杜超翔 黄志良 LIN Zhen-yang;XU Song-tao;PANG Xu-guang;DU Chao-xiang;HUANG Zhi-liang(Department of Thoracic Surgery,Zhongshan Hospital(Xiamen Branch),Fudan University,Xiamen 361015,Fujian Province,China;Department of Thoracic Surgery,Shanghai Geriatric Medical Center,Shanghai 201104,China;Department of Thoracic Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院厦门医院胸外科,厦门361015 [2]上海市老年医学中心胸外科,上海201104 [3]复旦大学附属中山医院胸外科,上海200032

出　　处：《复旦学报（医学版）》2024年第6期977-980,996,共5页Fudan University Journal of Medical Sciences

摘　　要：目的总结平行位单孔胸腔镜肺叶切除术的临床经验。方法回顾性分析复旦大学附属中山医院厦门医院90例单孔胸腔镜肺叶切除术患者的临床资料。其中41例采用平行位单孔胸腔镜肺叶切除术,49例采用非平行位单孔胸腔镜肺叶切除术,比较两组患者围手术期的相关指标。结果平行位单孔胸腔镜组与非平行位单孔胸腔镜组在手术时间[(135.2±18.1)min vs.(132.7±25.6)min]、手术出血量[(100.1±27.2)mL vs.(117.3±33.5)mL]、引流管放置时间[(3.0±0.7)天vs.(3.1±0.9)天]、住院时间[(4.3±1.3)天vs.(4.8±1.5)天]及术后3年肿瘤复发率(7.32%vs.10.20%)差异均无统计学意义。结论平行位单孔胸腔镜肺叶切除术在技术上安全可行。Objective To summarize the clinical experience of pulmonary lobectomy by uniportal video-assisted thoracoscope in parallel position.Methods The clinical data of 90 patients who underwent uniportal video-assisted thoracoscopic lobectomy in Zhongshan Hospital(Xiamen Branch),Fudan University were retrospectively analyzed.Among them,41 patients underwent lobectomy by uniportal thoracoscope in parallel position,and 49 patients underwent lobectomy by uniportal thoracoscope in nonparallel position.The perioperative related indicators of the two groups were compared.Results There was no significant statistical difference between the parallel uniportal thoracoscopic group and the nonparallel uniportal thoracoscopic group in terms of operation time[(135.2±18.1)min vs.(132.7±25.6)min],intraoperative blood loss[(100.1±27.2)mL vs.(117.3±33.5)mL],postperative extubation time[(3.0±0.7)d vs.(3.1±0.9)d],hospitalization time after operation[(4.3±1.3)d vs.(4.8±1.5)d]and relapse rate after surgery in 3 year(7.32%vs.10.20%).Conclusion Lobectomy by uniportal thoracoscope in parallel position was safe and feasible in technique.

关 键 词：单孔胸腔镜 肺叶切除术 平行位 

分 类 号：R655.3[医药卫生—外科学]