[1]齐海亮 李亚斋 李姿健 徐慧海**.全胸腔镜下解剖性肺段切除术治疗肺结核(附25例报告)[J].中国微创外科杂志,2021,01(12):1083-1085.
　Qi Hailiang,Li Yazhai,Li Zijian,et al.Total Thoracoscopic Anatomic Segmentectomy of Lung for Pulmonary Tuberculosis: Report of 25 Cases[J].Chinese Journal of Minimally Invasive Surgery,2021,01(12):1083-1085.
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全胸腔镜下解剖性肺段切除术治疗肺结核(附25例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年12期
页码:
1083-1085
栏目:
临床研究
出版日期:
2021-12-25

文章信息/Info

Title:
Total Thoracoscopic Anatomic Segmentectomy of Lung for Pulmonary Tuberculosis: Report of 25 Cases
作者:
齐海亮 李亚斋 李姿健 徐慧海**
(河北省胸科医院胸外科，石家庄050041)
Author(s):
Qi Hailiang;  Li Yazhai;  Li Zijian;  et al.
Department of Thoracic Surgery, Hebei Chest Hospital, Shijiazhuang 050041, China
关键词:
胸腔镜手术; 解剖性肺段切除术; 肺结核
Keywords:
Video assisted thoracoscopic surgery; Anatomic segmentectomy of lung; Pulmonary tuberculosis
文献标志码:
A
摘要:
目的探讨全胸腔镜下解剖性肺段切除术治疗肺结核的可行性。方法选取2017年5月~2019年7月我科采用全胸腔镜单操作孔解剖性肺段切除术治疗肺结核25例，操作孔位于腋前线第4或5肋间，应用切口保护器，不使用肋骨牵开器，观察孔取腋中线第7或8肋间，全胸腔镜下行解剖性肺段切除术。结果1例因胸腔粘连严重、出血多，中转开胸，余24例全胸腔镜下完成解剖性肺段切除。围手术期无死亡，术后并发症3例，包括2例持续性漏气，1例痰中带血，对症治疗后均痊愈。术后病理均为肺结核。25例随访24个月，肺复张可，未发生严重并发症。结论全胸腔镜解剖性肺段切除治疗肺结核安全、可行，效果确切，值得临床推广。
Abstract:
ObjectiveTo explore the feasibility of thoracoscopic anatomic segmentectomy of lung in the treatment of pulmonary tuberculosis.MethodsFrom May 2017 to July 2019, 25 patients with pulmonary tuberculosis were treated by total thoracoscopic anatomic segmentectomy of lung in our hospital. The operation hole was located between the 4th or 5th rib at the axillary front line. The incision protector was used without the rib retractor. The 7th or 8th rib at the axillary midline was taken from the observation hole, and anatomic segmentectomy of lung was performed under total thoracoscopy.ResultsAmong the 25 patients, 1 case was converted to thoracotomy due to severe thoracic adhesion and excessive bleeding. The other 24 cases completed anatomic segmentectomy of lung under total thoracoscopy. There was no death during the perioperative period. There were 3 cases of postoperative complications, including 2 cases of continuous air leakage, and 1 case of blood in sputum. They were cured after symptomatic treatment. The postoperative pathology showed pulmonary tuberculosis. All the 25 patients were followed up for 24 months. All the patients recovered without serious complications.ConclusionTotal thoracoscopic anatomic segmentectomy of lung for pulmonary tuberculosis is safe, feasible and effective, which is worthy of clinical promotion.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：河北省“三三三人才工程”资助项目（A202101066）**通讯作者,Email：10761119@qq.com
更新日期/Last Update: 2022-04-07