[单操作孔全胸腔镜肺叶切除术初步报告]
[Primary report of lobectomy with single utility port complete video-assisted thoracoscopic surgery].
作者信息
Chu Xiangyang, Xue Zhiqiang, Zhang Lianbin, Hou Xiaobin, Ma Kefeng
机构信息
Department of Thoracic Surgery, PLA General Hospital, Beijing 100853, China.
出版信息
Zhongguo Fei Ai Za Zhi. 2010 Jan;13(1):19-21. doi: 10.3779/j.issn.1009-3419.2010.01.03.
BACKGROUND AND OBJECTIVE
Video-assisted thoracoscopic surgery (VATS) has been widely used in the diagnosis and treatment of chest diseases. The aim of this study was to explore the feasibility and clinical value of lobectomy with single utility port complete VATS.
METHODS
From September 2009 to December 2009, 21 cases underwent lobectomy with single utility port complete VATS. Of 21 patients, right upper lobectomy was 12 cases, left lower lobectomy 5 cases, right lower lobectomy 2 cases, left upper lobectomy 1 case, right middle lobectomy 1 case.
RESULTS
The operation process were smooth in all patients and without conversion to thoracotomy. The mean operative time was (132.7 +/- 16.2) min and the mean intraoperative blood loss was (110.5 +/- 24.6) mL. The average chest tube drainage time was (3.1 +/- 1.3) d, and the mean hospitalization day was (5.2 +/- 3.2) d. All patients recovered smoothly and without severe complications. There were no post-operative deaths.
CONCLUSION
Lobectomy with single utility port VATS is technically feasible and has the advantages of minimal invasive and rapid recovery.
背景与目的
电视辅助胸腔镜手术（VATS）已广泛应用于胸部疾病的诊断与治疗。本研究旨在探讨单操作孔全胸腔镜肺叶切除术的可行性及临床价值。
方法
2009年9月至2009年12月，21例行单操作孔全胸腔镜肺叶切除术。21例患者中，右上叶切除12例，左下叶切除5例，右下叶切除2例，左上叶切除1例，右中叶切除1例。
结果
所有患者手术过程顺利，无一例中转开胸。平均手术时间为（132.7±16.2）分钟，平均术中出血量为（110.5±24.6）毫升。平均胸腔闭式引流时间为（3.1±1.3）天，平均住院天数为（5.2±3.2）天。所有患者均顺利康复，无严重并发症发生。无术后死亡病例。
结论
单操作孔全胸腔镜肺叶切除术技术上可行，具有微创和恢复快的优点。
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