高级搜索
电视胸腔镜手术治疗胸部肿瘤62例临床分析[J]. 肿瘤防治研究, 2011, 38(06): 685-686. DOI: 10.3971/j.issn.1000-8578.2011.06.021
引用本文: 电视胸腔镜手术治疗胸部肿瘤62例临床分析[J]. 肿瘤防治研究, 2011, 38(06): 685-686. DOI: 10.3971/j.issn.1000-8578.2011.06.021
Clinical Analysis of 62 Thoracic Tumor Treated with Video-assisted Thoracoscopic Surgery[J]. Cancer Research on Prevention and Treatment, 2011, 38(06): 685-686. DOI: 10.3971/j.issn.1000-8578.2011.06.021
Citation: Clinical Analysis of 62 Thoracic Tumor Treated with Video-assisted Thoracoscopic Surgery[J]. Cancer Research on Prevention and Treatment, 2011, 38(06): 685-686. DOI: 10.3971/j.issn.1000-8578.2011.06.021

电视胸腔镜手术治疗胸部肿瘤62例临床分析

Clinical Analysis of 62 Thoracic Tumor Treated with Video-assisted Thoracoscopic Surgery

  • 摘要: 目的探讨胸部肿瘤电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS)的治疗效果。方法回顾分析2009年10月—2010年8月,62例电视胸腔镜手术治疗胸部肿瘤患者的临床资料。结果全组无手术死亡病例,全胸腔镜手术57例 ,中转胸腔镜辅助小切口手术5例。其中肺叶切除32例,肺楔形切除21例,胸膜活检加肺固定术2例,纵隔肿瘤切除7例。平均手术时间 92 min,平均术中失血量150 ml,围手术期均未输血;平均术后住院时间8.2 d;术后出现并发症9例。结论VATS是一种创伤小、痛苦轻、恢复快、术后并发症少、应用范围较高的胸外科新技术;完全性肺叶切除在一次性缝合材料的配合下可达到与开胸手术相同的结果,但是手术经验仍需进一步积累。

     

    Abstract: ObjectiveTo evaluate the effects of video-assisted thoracoscopic surgery (VATS) on thoracic tumor. MethodsThe clinical data of 62 patients with thoracic tumor from October 2009 to August 2010 treated by VATS were retrospectively analyzed. ResultsNo fatal cases were observed. There were 30 cases of wedge resection,23 cases of lobectomy, 2 cases of pleura biopsy and pneumonopexy, 7 cases of mediastinum tumor resection, and 5 cases switched to conventional thoracotomy during operation. The average duration of surgery was 72 min, and the average quantity of intraoperative blood loss was 130 ml. No blood transfusions were performed during perioperative period. The average admission time after operation was 8.2 days. And complications developed in 7 cases. ConclusionThere are many advantages of video-assisted thoracoscopic surgery (VATS) such as minimal injury, less pain, faster recovery and less complication.VATS has wide clinic application. Integrity lobectomy has the same effects compared with conventional thoracotomy by coordinate with disposable suture material, while it still needs to accumulate operative experiences.

     

/

返回文章
返回