[电视辅助胸腔镜手术与小切口开胸手术治疗良性食管疾病的比较]
[Comparison of VATS and mini-incision thoracotomy for the treatment of benign esophageal diseases].
作者信息
Zhao Hu, Liu Tong-lin
机构信息
Department of Thoracic Surgery, the First Hospital of Peking University, Beijing 100034, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2007 Nov 15;45(22):1533-5.
OBJECTIVE
To compare video-assisted thoracis surgery (VATS) and mini-incision thoracotomy for the treatment of benign esophageal diseases.
METHODS
The clinical data of 52 patients with benign esophageal diseases underwent minimally invasive surgical treatment from January 1995 to January 2007 were analyzed retrospectively. VATS were performed in 25 cases and mini-incision thoracotomy were performed in 27 cases.
RESULTS
There was no operative death or major perioperative complications in both groups. There were no significant difference between them according to operation time, postoperative thoracic drainage time, postoperative gastric drainage time and postoperative hospital stay time.
CONCLUSIONS
For the treatment of benign esophageal diseases, both VATS and mini-incision thoracotomy are safe and effective. VATS can be performed in suitable cases with more minimal incision and decreased operative trauma, mini-incision thoracotomy can be performed in almost all cases, preferring the sophisticated cases.
目的
比较电视胸腔镜手术（VATS）与小切口开胸手术治疗良性食管疾病的效果。
方法
回顾性分析1995年1月至2007年1月间52例行微创外科治疗的良性食管疾病患者的临床资料。其中25例行VATS，27例行小切口开胸手术。
结果
两组均无手术死亡及严重围手术期并发症。两组在手术时间、术后胸腔引流时间、术后胃引流时间及术后住院时间方面差异无统计学意义。
结论
对于良性食管疾病的治疗，VATS和小切口开胸手术均安全有效。VATS适用于合适病例，切口更小，手术创伤更小；小切口开胸手术几乎适用于所有病例，尤其适用于复杂病例。
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