电视辅助胸腔镜手术治疗纵隔肿瘤
Video-assisted thoracoscopic management of mediastinal tumors.
作者信息
Cheng Y J, Wu H H, Chou S H, Kao E L
机构信息
Department of Surgery, Kaohsiung Medical University Hospital, Taiwan, Republic of China.
出版信息
JSLS. 2001 Jul-Sep;5(3):241-4.
BACKGROUND
Many successful attempts at removing benign mediastinal tumors with the video-assisted thoracoscopic technique have been reported, but no formal report has been published regarding malignant mediastinal tumors treated with this technique. We report our preliminary experience with video-assisted thoracoscopic removal of mediastinal tumors, benign or malignant.
METHODS
Seven patients with mediastinal tumors treated with video-assisted thoracoscopic surgery were reviewed from January 1999 to April 2000. Their tumor pathologies included benign or malignant thymoma, neurilemmoma, and teratoma.
RESULTS
The mean operation time was 240 minutes. The mean blood loss was 173 mL. The mean insertion time of chest tubes was 3 days. The mean admission time was 6 days. No deaths occurred during the study. Morbidity occurred in 2 patients. No tumor recurrence has been seen during the mean follow-up of 7 months.
CONCLUSIONS
The short-term results support the feasibility of VATS in managing technically resectable mediastinal tumors. Yet the long-term prognosis for the malignant lesions is deferred and needs further study.
背景
已有许多关于应用电视辅助胸腔镜技术成功切除纵隔良性肿瘤的报道，但尚未见关于应用该技术治疗纵隔恶性肿瘤的正式报告。我们报告应用电视辅助胸腔镜切除纵隔肿瘤（良性或恶性）的初步经验。
方法
回顾1999年1月至2000年4月间接受电视辅助胸腔镜手术治疗的7例纵隔肿瘤患者。其肿瘤病理类型包括良性或恶性胸腺瘤、神经鞘瘤和畸胎瘤。
结果
平均手术时间为240分钟。平均失血量为173毫升。胸腔引流管平均留置时间为3天。平均住院时间为6天。研究期间无死亡病例。2例患者出现并发症。平均随访7个月期间未见肿瘤复发。
结论
短期结果支持电视辅助胸腔镜手术治疗技术上可切除的纵隔肿瘤的可行性。然而，恶性病变的长期预后尚待进一步研究。
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