儿童胸腔镜肺切除术
Thoracoscopic lung resection in children.
作者信息
Rothenberg S S
机构信息
The Hospital for Infants and Children at Presbyterian/St Lukes, National Jewish Medical and Research Center, Denver, CO, USA.
出版信息
J Pediatr Surg. 2000 Feb;35(2):271-4; discussion 274-5. doi: 10.1016/s0022-3468(00)90023-x.
PURPOSE
The aim of this study was to evaluate the technique of video-assisted thoracic surgery (VATS) in lung resections in infants and children.
METHODS
From December 1992 to December 1998 113 consecutive patients, ages 3 weeks to 19 years, underwent VATS for biopsy or resection of various lung pathology. This included 88 wedge biopsies, 12 resections of bullous or cystic disease, 9 lobectomies or segmental resections, and 4 bronchogenic cysts.
RESULTS
All procedures were completed successfully. Two patients with metastatic disease had surgery converted to a standard thoracotomy for extensive resections. The average operating time for a wedge biopsy of 2 sites was 26 minutes and 210 minutes for a lobectomy. The average hospital stay after wedge resection was 1.1 days. There were no complications related to the VATS approach.
CONCLUSION
VATS is a safe and effective technique in the diagnosis and treatment of pediatric pulmonary disease.
目的
本研究旨在评估电视辅助胸腔镜手术（VATS）在婴幼儿及儿童肺切除术中的技术应用。
方法
1992年12月至1998年12月，113例年龄在3周龄至19岁的连续患者接受了VATS手术，用于对各种肺部病变进行活检或切除。其中包括88例楔形活检、12例大疱性或囊性疾病切除术、9例肺叶切除术或肺段切除术以及4例支气管囊肿切除术。
结果
所有手术均成功完成。2例转移性疾病患者因需广泛切除而将手术转为标准开胸手术。2个部位楔形活检的平均手术时间为26分钟，肺叶切除术的平均手术时间为210分钟。楔形切除术后的平均住院时间为1.1天。未出现与VATS手术方式相关的并发症。
结论
VATS是诊断和治疗小儿肺部疾病的一种安全有效的技术。
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