Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, People's Republic of China.
J Thorac Oncol. 2010 Feb;5(2):240-3. doi: 10.1097/JTO.0b013e3181c6b6b2.
To present our experience of video-assisted thoracoscopic surgery (VATS) for patients with solitary fibrous tumors of the pleura (SFTPs) and to discuss the treatment of choice of such neoplasms.
Between June 2000 and September 2008, 21 patients with SFTPs (9 men and 12 women) underwent VATS at our department. The mean age was 52.5 years (range, 33-76 years).
Surgical excision was performed in all patients. Surgical excision was performed by VATS in 15 patients (71.4%), by VATS plus a small thoracotomy (<5 cm) in 4 patients (19.0%), and by posterolateral thoracotomy accompanied by VATS in 2 patients (9.5%). Mean chest drain duration was 2.3 days (range, 1-4 days), and the mean hospital stay was 7.2 days (range, 4-15 days). There were 18 pathologically benign SFTP cases (85.7%) and 3 malignant SFTP cases (14.3%). There was no operative morbidity or mortality. No recurrence or metastasis of SFTPs developed during postoperative median follow-up period of 43 months.
Complete resection and close follow-up for years after operation is recommended for SFTPs. VATS may play an important role in reducing the size of the thoracotomy incision in the treatment of SFTPs, which results in less invasive surgery.
介绍我们在胸腔镜辅助手术（VATS）治疗胸膜孤立性纤维瘤（SFTP）方面的经验，并讨论此类肿瘤的治疗选择。
2000 年 6 月至 2008 年 9 月，我们科室对 21 例 SFTP 患者（9 例男性，12 例女性）进行了 VATS。平均年龄为 52.5 岁（范围，33-76 岁）。
所有患者均行手术切除。15 例（71.4%）患者通过 VATS 进行手术切除，4 例（19.0%）患者通过 VATS 联合小切口（<5cm）进行手术切除，2 例（9.5%）患者通过后外侧开胸术联合 VATS 进行手术切除。胸腔引流管留置时间平均为 2.3 天（范围，1-4 天），平均住院时间为 7.2 天（范围，4-15 天）。18 例病理良性 SFTP 病例（85.7%）和 3 例恶性 SFTP 病例（14.3%）。无手术并发症或死亡。术后中位随访 43 个月，SFTP 无复发或转移。
SFTP 推荐行完整切除，并在术后多年进行密切随访。VATS 在缩小 SFTP 开胸手术切口方面可能发挥重要作用，从而使手术更具微创性。
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