Lee Y M, Lim Y C, Liam C K, Majid A
Department of Surgery, Universiti Malaya, Lembah Pantai, Kuala Lumpur.
Med J Malaysia. 1996 Mar;51(1):109-13.
Consecutive 25 patients (M/F:18/7) underwent video-assisted thoracoscopic surgery (VATS) for various chest illnesses. These included nine cases of pneumothorax, three cases of pericardial effusion, three cases of pleural effusion, four cases of lung lesion requiring either incisional or excisional biopsy, two cases of empyema, one case of traumatic haemothorax, and three cases of mediastinal lesion. The mean age was 36.2 years (range 19-78 years). A total of forty-three procedures were performed. The mean durations of intrapleural chest-tube requirement and hospitalisation following VATS alone were 4.5 days (range: 0-13 days) and 8.3 days (range: 2-25 days) respectively. No intraoperative complication and VATS procedure-related mortality reported. Apart from simple analgesics such as paracetamol or tramadolol, no opiate analgesia was given to patients undergoing only VATS. The results support that VATS is a safe and effective procedure in the management of pulmonary, mediastinal, pericardial and pleural diseases and the treatment of persistent and recurrent spontaneous pneumothorax.
连续25例患者（男/女：18/7）因各种胸部疾病接受了电视辅助胸腔镜手术（VATS）。其中包括9例气胸、3例心包积液、3例胸腔积液、4例需要切开或切除活检的肺部病变、2例脓胸、1例创伤性血胸和3例纵隔病变。平均年龄为36.2岁（范围19 - 78岁）。共进行了43例手术。单纯VATS后胸腔内置胸管的平均时间和住院时间分别为4.5天（范围：0 - 13天）和8.3天（范围：2 - 25天）。未报告术中并发症及与VATS手术相关的死亡病例。除了对乙酰氨基酚或曲马多等简单镇痛药外，仅接受VATS的患者未给予阿片类镇痛。结果支持VATS在治疗肺部、纵隔、心包和胸膜疾病以及治疗持续性和复发性自发性气胸方面是一种安全有效的手术。
