[1]李元博,支修益﹡,张毅,等.胸腔镜手术治疗高龄气胸患者的临床体会[J].中国微创外科杂志,2017,17(1):19-21.
　Li Yuanbo,Zhi Xiuyi,Zhang Yi,et al.Clinical Experience of Video-assisted Thoracic Surgery for Treating Elderly Patients with Pneumothorax[J].Chinese Journal of Minimally Invasive Surgery,2017,17(1):19-21.
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胸腔镜手术治疗高龄气胸患者的临床体会()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年1期
页码:
19-21
栏目:
临床研究
出版日期:
2017-04-18

文章信息/Info

Title:
Clinical Experience of Video-assisted Thoracic Surgery for Treating Elderly Patients with Pneumothorax
作者:
李元博; 支修益﹡; 张毅; 许庆生
首都医科大学宣武医院胸外科，北京100053
Author(s):
Li Yuanbo;  Zhi Xiuyi;  Zhang Yi;  et al.
Department of Thoracic Surgery, Xuanwu Hospital of Capital Medical University, Beijing 100053, China
关键词:
胸腔镜手术; 高龄; 气胸
Keywords:
Video-assisted thoracic surgery; Elderly; Pneumothorax
文献标志码:
A
摘要:
目的探讨胸腔镜手术治疗高龄自发性气胸的安全性。方法回顾性分析2008年6月~2016年6月26例70岁以上因自发性气胸行全胸腔镜手术的临床资料。结果手术时间（62±28）min，出血量（35±15）ml，无中转开胸。术后胸腔引流时间(4.8±1.8)d。术后并发症4例，1例因呼吸衰竭于围手术期死亡。25例随访（38±16）月，无复发。结论胸腔镜治疗高龄自发性气胸安全、有效。
Abstract:
ObjectiveTo study the safety of video-assisted thoracic surgery (VATS) in the treatment for spontaneous pneumothorax in elderly patients. MethodsBetween June 2008 and June 2016, 26 patients over the age of 70 years old received thoracoscopic surgery treatment for spontaneous pneumothorax. The clinical data were retrospectively observed.ResultsThe average operation time was (62±28) min and the average intraoperative blood loss was (35±15) ml. No conversion to thoracotomy was required. The postoperative drainage period was (4.8±1.8) days. Four cases suffered from postoperative complications, and perioperative death occurred in one patient due to respiratory failure. During a follow-up of (38±16) months in 25 patients, no recurrence was observed.ConclusionVATS is a safe and effective procedure in the treatment of spontaneous pneumothorax in elderly patients.

参考文献/References:

[1]Herrmann D,Klapdor B,Ewig S,et al.Initial management of primary spontaneous pneumothorax with video-assisted thoracoscopic surgery:a 10-year experience.Eur J Cardiothorac Surg,2016,49(3):854-859.
[2]Sadikot RT,Greene T.Recurrence of primary spontaneous pneumothorax.J Thorax,1997,52:805-809.
[3]Katlic MR,Facktor MA.Non-intubated video-assisted thoracic surgery in patients aged 80 years and older.Ann Transl Med,2015,3(8):101-106.
[4]MacDuff A,Arnold A,Harvey J.BTS Pleural Disease Guideline Group.Management of spontaneous pneumothorax:British Thoracic Society Pleural Disease Guideline 2010.Thorax,2010,65(Suppl 2):ii18-31.
[5]Goto T,Kadota Y,Mori T,et al.Video-assisted thoracic surgery for pneumothorax: republication of a systematic review and a proposal by the guideline committee of the Japanese association for chest surgery 2014.Gen Thorac Cardovasc Surg,2015,63:8-13.
[6]滕洪，王述民，曲家骐，等.胸腔镜手术治疗老年自发性气胸70例.中国微创外科杂志,2013,13（11）：974-976.

备注/Memo

备注/Memo:
﹡通讯作者，E-mail:xiuyizhi@aliyun.com
更新日期/Last Update: 2017-04-18