[1]邬松 范正洋 桑宏阳 李谦平 成少飞**.单孔3D胸腔镜在巨大纵隔肿瘤诊治中的应用[J].中国微创外科杂志,2020,01(9):857-861.
　Wu Song,Fan Zhengyang,Sang Hongyang,et al.Application of Singleport Threedimensional Videoassisted Thoracic Surgery in the Diagnosis and Treatment of Giant Mediastinal Tumor[J].Chinese Journal of Minimally Invasive Surgery,2020,01(9):857-861.
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单孔3D胸腔镜在巨大纵隔肿瘤诊治中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年9期
页码:
857-861
栏目:
经验交流
出版日期:
2020-09-25

文章信息/Info

Title:
Application of Singleport Threedimensional Videoassisted Thoracic Surgery in the Diagnosis and Treatment of Giant Mediastinal Tumor
作者:
邬松 范正洋 桑宏阳 李谦平 成少飞**
（上海交通大学附属第六人民医院东院胸外科，上海201306）
Author(s):
Wu Song;  Fan Zhengyang;  Sang Hongyang;  et al.
Department of Thoracic Surgery, Shanghai Sixth People’s Hospital East Campus, Shanghai Jiao Tong University, Shanghai 201306, China
关键词:
胸腔镜; 单孔; 巨大; 纵隔肿瘤
Keywords:
Videoassisted thoracoscopic surgery; Singleport; Giant; Mediastinal tumor
文献标志码:
B
摘要:
目的探讨单孔3D胸腔镜（singleport threedimensional videoassisted thoracic surgery，SP3DVATS）切除巨大（直径≥5 cm）纵隔肿瘤的安全性和可行性。方法回顾性分析2017年1月~2019年12月单孔3D胸腔镜切除巨大纵隔肿瘤12例资料，胸部CT测量肿瘤直径5~10 cm，（6.9±1.9）cm。腋前、中线第4或5肋间切口长3~4 cm，利用胸腔镜器械行纵隔肿瘤及全胸腺切除。结果手术均成功完成，无中转开胸。手术时间40~240 min，（130.8±71.5）min；术中出血量40~200 ml，(100.4±56.1)ml；胸腔引流时间2~4 d，(2.8±0.7)d；术后住院时间2~5 d，(3.2±1.0)d。术后病理诊断畸胎瘤2例，胸腺瘤5例，神经鞘瘤2例，胸腺癌1例，心包囊肿1例，支气管囊肿1例。术后迟发性乳糜胸1例。术后随访6~38个月，（27.9±8.2）月，无复发。结论单孔3D胸腔镜下切除巨大纵隔肿瘤是安全、可行的。
Abstract:
ObjectiveTo evaluate the efficacy and safety of singleport threedimensional videoassisted thoracic surgery (SP3DVATS) in the treatment of giant mediastinal tumor (diameter ≥ 5 cm).MethodsFrom January 2017 to December 2019, 12 consecutive patients diagnosed with giant mediastinal tumor were retrospectively reviewed for resection through SP3DVATS. The tumor diameter measured by chest computed tomography scan was 5-10 cm (mean, 6.9±1.9 cm). The mediastinal tumor and entire thymus were removed by thoracoscopic instruments through a 3-4 cm long incision on the anterior axillary line and midaxillary line in the 4th or 5th intercostal space. ResultsSuccessful operation was carried out in all the cases by SP3DVATS, without conversion to open chest surgery. The operative time was 40-240 min (mean, 130.8±71.5 min). The intraoperative blood loss was 40-200 ml (mean, 100.4±56.1 ml). The chest drainage tube was maintained for 2-4 days (mean, 2.8±0.7 days). The postoperative length of hospital stay was 2-5 days (mean, 3.2±1.0 days). One case of delayed chylothorax occurred after thoracoscopic surgery. The postoperative pathological diagnoses were schwannoma in 2 cases, thymoma in 5 cases, teratomas in 2 cases, bronchogenic cyst in 1 case, pleuropericardial cyst in 1 case, and thymiccarcinoma in 1 case. All the patients were followed up for 6-38 months (mean, 279±8.2 months), during which no one had recurrence or metastasis.ConclusionSingleport threedimensional thoracoscopic resection of giant mediastinal tumors is safe and feasible.

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备注/Memo

备注/Memo:
基金项目：上海市卫生和计划生育委员会科研课题项目（201540267）**通讯作者，Email：shaofeicheng@126.com
更新日期/Last Update: 2020-12-09