[1]刘宝东﹡ 刘磊 张毅 支修益.胸腔镜肿瘤切除术治疗肺错构瘤5例报告[J].中国微创外科杂志,2014,14(11):1033-1035.
　Liu Baodong,Liu Lei,Zhang Yi,et al.Videoassisted Thoracoscopic Enucleation for Pulmonary Hamartoma：a Report of 5 Cases[J].Chinese Journal of Minimally Invasive Surgery,2014,14(11):1033-1035.
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胸腔镜肿瘤切除术治疗肺错构瘤5例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年11期
页码:
1033-1035
栏目:
短篇论著
出版日期:
2014-11-20

文章信息/Info

Title:
Videoassisted Thoracoscopic Enucleation for Pulmonary Hamartoma：a Report of 5 Cases
作者:
刘宝东﹡ 刘磊 张毅 支修益
首都医科大学宣武医院胸外科，北京100053
Author(s):
Liu Baodong;  Liu Lei;  Zhang Yi;  et al.
Department of Thoracic Surgery, Xuanwu Hospital of Capital Medical University, Beijing 100053, China
关键词:
错构瘤; 肺; 胸腔镜
Keywords:
Hamartoma; Lung; Thoracoscope
分类号:
R734.2
文献标志码:
A
摘要:
目的探讨胸腔镜肿瘤切除术治疗肺错构瘤的临床效果。方法双腔气管插管单肺通气，根据肿瘤部位常规做3个胸腔镜切口：腋中线第7或8肋间作为观察口，置入胸腔镜；腋前线第5肋间和腋后线第6肋间作为操作口。胸腔镜下切开结节表面脏层胸膜，沿肿瘤包膜钝性剥离出肿瘤。结果5例手术顺利，无中转开胸，无手术并发症和围术期死亡发生。手术时间平均54 min（30～90 min），术中出血平均10 ml，引流量平均288 ml（220～350 ml），术后拔管时间平均2.6 d（2～3 d）、术后住院时间平均3.8 d（3～5 d），总费用平均23 940.51元（15 885.95～26 670.23元）。5例术后随访1~30个月，平均9.2月，未见肿瘤复发。结论胸腔镜肿瘤切除术是周围型肺错构瘤的首选术式。
Abstract:
ObjectiveTo evaluate the effects of videoassisted thoracoscopic enucleation for treating pulmonary hamartoma.MethodsGeneral anesthesia was performed with double lumen endotracheal intubation. Tree trocar ports were made in each case in regular arrangement: the seventh or eighth intercostal space at the axillary midline for the introduction of camera, and the fifth intercostal space at the anterior axillary line and the sixth intercostal space at the posterior axillary line for operation performance. Thoracoscopic enucleation of tumor was conducted in 5 patients with pulmonary hamartoma by blunt resection. ResultsAll the procedures were accomplished uneventfully. There was no conversion to thoracotomy. No complications and perioperative deaths occurred. The average operation time was 54 min (30-90 min), average intraoperative bleeding was 10 ml, average drainage volume was 288 ml (220-350 ml), average drainage time was 2.6 d (2-3 d), average postoperative hospitalization time was 3.8 d (3-5 d), and average total costs, 23 940.51 yuan (15 885.95-26 670.23 yuan), respectively. There was no tumor recurrence within the followup period for 1-30 months after operation．ConclusionVideoassisted thoracoscopic enucleation is a good choice for patients with peripheral pulmonary hamartoma.

参考文献/References:

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备注/Memo

备注/Memo:
﹡通讯作者，Email:xwliubaodong@aliyun.com
更新日期/Last Update: 2014-11-20