[1]姜杰,傅成国①,杜好信,等.胸腔镜辅助小切口手术150例的临床应用[J].中国微创外科杂志,2007,07(11):1106-1107.
　Jiang Jie*,Fu Chengguo,Du Haoxin*,et al.Videoassisted Minithoracotomy: Report of 150 cases[J].Chinese Journal of Minimally Invasive Surgery,2007,07(11):1106-1107.
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胸腔镜辅助小切口手术150例的临床应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年11期
页码:
1106-1107
栏目:
出版日期:
2007-11-20

文章信息/Info

Title:
Videoassisted Minithoracotomy: Report of 150 cases
作者:
姜杰; 傅成国①; 杜好信; 耿国军; 姚成才; 陈端扬; 李水文
中国厦门华侨医院福建中医学院附属厦门中医院，厦门361009
Author(s):
Jiang Jie*;  Fu Chengguo;  Du Haoxin*;  et al
.*Chinese Xiamen Hospital of Overseas Chinese,Xiamen Hospital of Traditional Medicine, Fujian University of Traditional Chinese Medicine, Xiamen 361009, China
关键词:
电视胸腔镜; 小切口
Keywords:
Videoassisted thoracoscopy; Minithoracotomy
分类号:
R655
文献标志码:
A
摘要:
目的探讨胸腔镜辅助小切口在胸腔手术中的应用价值。方法1998年1月～2006年9月，在电视胸腔镜手术中有选择地应用小切口完成各种胸外科手术150例，其中气胸65例，血气胸14例，肺部占位性病变55例，纵隔肿瘤11例，食管良性肿瘤5例。结果本组145例手术成功，5例术中发现胸膜广泛粘连、肿瘤侵犯周围脏器、大出血而中转传统开胸手术。手术时间55~150 min，平均75 min。术中出血20~130 ml，平均80 ml。胸管放置时间2~4 d，平均3 d。住院时间5~7 d，平均6 d。全组随访时间6个月~5年，平均38个月，肺癌5年生存1例，3年生存3例，1例1年后死于心肌梗死，其余145例均无并发症，无复发。结论电视胸腔镜手术中选择性辅以小切口，操作简单，适应证广，并发症少。
Abstract:
ObjectiveTo study the value of videoassisted minithoracotomy (VAMT) in thoracic surgeries.Methods From January 1998 to September 2006, 150 patients, including 65 cases of pneumothorax, 14 hemopneumothorax, 55 lung occupations, 11 mediastinal masses, and 5 esophageal benign tumors, received VAMT in our hospital.ResultsThe operation was successful in 145 patients, the other 5 were converted to traditional open surgery because of extensive pleural adhesion the tumor invasion into the surrounding organs large amount of blood loss. The operation time was 55-150 minutes (mean, 75 minutes). The blood loss was 20-130 ml (mean, 80 ml). Closed thoracic drainage was used for 2-4 days postoperatively (mean, 3 days). The hospital stay was 5-7 days (mean, 6 days). The patients were followed up for 6 months to 5 years (mean,38 months). One of the patients with lung cancers survived for 5 years, 3 of them survived for 3 years, and 1 died of myocardial infarction 1 year after the operation. No complication or recurrence was detected in the other 145 patients.ConclusionsSelective use of VAMT is an easily mastered method with extensive indications and few complications.

参考文献/References:

[1]王俊.更加理性地认识和面对电视胸腔镜手术.中国微创外科杂志，2005,5(8):602-603.
[2]Okada M,Sakamoto T,Yuki T,et al.Hybrid surgical approach of videoassisted minithoracotomy for lung cancer: significance of direct visualization on quality of surgery.Chest,2005,128(4):2696-2701.
[3]Hsiao CW,Lee SC,Tzao C,et al.Minithoracotomy with simultaneous videoassisted thoracoscopic surgery vs. videoassisted thoracoscopic surgery for spontaneous hemopneumothorax.Thorac Cardiovasc Surg,2003,51(5):288-290.
[4]Yoshino I,Ushijima C,Tomiyasu M,et al.Unique minithoracotomy assisted by videothoracoscopy facilitates a maximal view even with a minimal wound for resection of primary lung cancer.Surg Endosc,2002,16(1):148-150.
[5]Bailey KA,Bass J,Rubin S,et al.Empyema management: twelve years’ experience since the introduction of videoassisted thoracoscopic surgery.J Laparoendosc Adv Surg Tech A,2005,15(3):338-341.
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备注/Memo

备注/Memo:
①（厦门中山医院胸外科，厦门361004）
更新日期/Last Update: 2013-12-09