[1]朱勇※ 施舜缤 张林 王海龙 钱涛涛.2种径路胸腔镜全胸腺切除术的对比研究[J].中国微创外科杂志,2019,01(2):121-123.
　Zhu Yong,Shi Shunbin,Zhang Lin,et al.Comparison Between Right and Left Thoracic Approach Videoassisted Thoracoscopic Extended Thymectomy[J].Chinese Journal of Minimally Invasive Surgery,2019,01(2):121-123.
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2种径路胸腔镜全胸腺切除术的对比研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年2期
页码:
121-123
栏目:
临床研究
出版日期:
2019-02-25

文章信息/Info

Title:
Comparison Between Right and Left Thoracic Approach Videoassisted Thoracoscopic Extended Thymectomy
作者:
朱勇※ 施舜缤 张林 王海龙 钱涛涛
（苏州市吴江区第一人民医院胸外科，苏州215200）
Author(s):
Zhu Yong;  Shi Shunbin;  Zhang Lin;  et al.
Department of Thoracic Surgery, Wujiang District First People’s Hospital of Suzhou, Suzhou 215200, China
关键词:
胸腺肿瘤; 电视胸腔镜手术; 全胸腺切除术
Keywords:
Thymic tumor; Videoassisted thoracoscopic surgery; Extended thymectomy
文献标志码:
A
摘要:
目的比较经右胸与左胸2种入路胸腔镜全胸腺切除术的临床效果。方法回顾性分析2011年1月~2017年12月33例胸腔镜全胸腺切除术，其中经右胸入路18例（右胸组），经左胸入路15例（左胸组），比较2组手术时间、术中出血量、术后胸管留置时间、术后住院时间以及并发症发生率。结果2组手术顺利，无中转开放手术，无围术期死亡。右胸组和左胸组手术时间［（109.7±32.5）min vs. (105.3±20.5)min，t=0.472,P=0.641］、中位术中出血量［10.0 ml(10~100 ml) vs. 10.0 ml(5~50 ml)，Z=-0.505,P=0.656］、术后胸管留置时间［（4.7±1.7）d vs.(5.9±2.3)d，t=-1.742,P=0091］、术后住院时间［（7.4±2.1）d vs. (7.5±2.3)d，t=-0.118,P=0.907］和并发症(2例vs.1例，Fisher精确概率法,P=1.000)均无显著差异。结论经右胸和左胸入路行胸腔镜全胸腺切除术安全可行，手术效果相当，术者可以依据个人的操作习惯及病灶的位置合理选择手术路径。
Abstract:
ObjectiveTo compare clinical outcomes of thoracoscopic extended thymectomy through right or left thoracic approach.MethodsClinical data of 33 patients who received thoracoscopic extended thymectomy from January 2011 to December 2017 were retrospectively analyzed. Of these patients, there were 18 cases of right approach surgery (rightside group)and 15 cases of left approach surgery (leftside group). The duration of surgery, amount of intraoperative blood loss, duration of chest drainage, postoperative hospital stay and postoperative complications were compared between the two groups.ResultsThe operations were successful in both groups．No patients needed conversion to open surgery. No perioperative death occurred. There were no significant differences between the rightside group and the leftside group in duration of surgery ［(109.7±32.5) min vs. (105.3±20.5) min, t=0.472, P=0.641］, amount of intraoperative blood loss ［10.0 (10-100) ml vs. 10.0 (5-50) ml, Z=-0.505, P=0.656］, duration of chest drainage ［(4.7±1.7) days vs. (5.9±2.3) days, t=-1.742, P=0.091］, postoperative hospital stay ［(7.4±2.1) days vs. (7.5±2.3) days, t=-0.118, P=0.907］ and postoperative complications (2 cases vs.1 case, Fisher’s exact test, P=1.000) between the two groups.ConclusionsBoth right and left thoracic approach for videoassisted thoracoscopic extended thymectomy are safe and feasible. The laterality of approach remains largely on surgeon preferences and location of the lesion.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2019-04-28