[1]滕洪,王述民,曲家骐,等.电视胸腔镜手术治疗胸腺疾病58例[J].中国微创外科杂志,2011,11(5):426-427.
　Teng Hong,Wang Shumin,Qu Jiaqi,et al.Videoassisted Thoracoscopic Resections in the Treatment of Thymus Diseases: Report of 58 Cases[J].Chinese Journal of Minimally Invasive Surgery,2011,11(5):426-427.
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电视胸腔镜手术治疗胸腺疾病58例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
11
期数:
2011年5期
页码:
426-427
栏目:
出版日期:
2011-05-20

文章信息/Info

Title:
Videoassisted Thoracoscopic Resections in the Treatment of Thymus Diseases: Report of 58 Cases
作者:
滕洪; 王述民; 曲家骐; 高昕; 侯维平; 刘博; 童向东
沈阳军区总医院胸外科，沈阳110016
Author(s):
Teng Hong;  Wang Shumin;  Qu Jiaqi;  et al.
Department of Thoracic Surgery,The military General Hospital of Shenyang, Shenyang 110016, China
关键词:
电视胸腔镜手术; 胸腺疾病
Keywords:
Videoassisted thoracoscopic resections; Thymus diseases
分类号:
R734.5
文献标志码:
A
摘要:
目的探讨电视胸腔镜手术治疗胸腺疾病的方法和价值。方法1994年7月～2010年7月，完全胸腔镜下或胸腔镜辅助小切口完整切除胸腺、胸腺瘤和胸腺囊肿58例：完全胸腔镜下切除33例，其中胸腺瘤切除8例，全胸腺切除7例，全胸腺切除纵隔脂肪清扫3例，胸腺囊肿切除15例；胸腔镜辅助小切口下切除25例，其中胸腺瘤切除9例，全胸腺切除14例，全胸腺切除纵隔脂肪清扫2例。结果58例均在完全胸腔镜或胸腔镜辅助小切口下完成切除，无并发症。完全胸腔镜下切除33例，手术时间70～90 min，平均80 min；胸腔镜辅助小切口下切除25例，手术时间55～70 min，平均65 min。无中转开胸。术中出血50～100 ml，平均60 ml。术后留置胸腔闭式引流3～5 d，平均4 d。术后住院5～9 d，平均7 d。术后病理诊断：胸腺瘤34例，胸腺增生6例，胸腺囊肿15例，胸腺脂肪瘤3例。48例随访1～5年，其中<2年19例，2～5年29例，均无复发。结论电视胸腔镜手术切除胸腺瘤和胸腺囊肿安全可靠，切除彻底，具有微创、恢复快及并发症少的特点。
Abstract:
ObjectiveTo evaluate the therapeutic methods and value of videoassisted thoracoscopic resections in the treatment of thymus diseases.MethodsRetrospective analysis of 58 cases of thymus diseases, who underwent completed videoassisted thoracoscopic resections (CVATR) or videoassisted thoracoscopic miniincision resections (VATMR) from July 1994 to July 2010 in our hospital. Among the patients, 33 cases underwent CVATR, including resection of thymus tumor in 8, total thymectomy in 7, and extended thymectomy in 3, and resection of thymus cyst in 15; the other 25 patients received VATMR, including resection of the thymus tumor in 9 cases, total thymectomy in 14, and extended thymectomy in 2.ResultsThe operations were completed successfully in all the 58 cases without complications. The mean operation time for CVATR was 80 min (70-90 min), and that for VATMR was 65 min (55-70 min). No patient was converted to open surgery. During the procedures, the mean blood loss was 60 ml (ranged from 50 to 100 ml). The patients had chest drainage until 3 to 5 days after the operation (mean, 4 days). The mean postoperative hospital stay of the patients was 7 days (5-9 days). Postoperative pathological examination showed thymus tumor in 34 cases, hyperplasia of the thymus in 6, thymus cyst in 15, and thymus adipoma in 3. The patients were followed up for 1 to 5 years (<2 years in 19, and 2-5 years in 29), during which no patient had recurrence.ConclusionCVATR and VATMR in the treatment of thymus disease are safe, reliable and have the advantages of minimal invasion,quick recovery and few complications.

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更新日期/Last Update: 2013-04-18