Wu Hsin-Hung, Chen Chih-Hao, Chang Ho, Liu Hung-Chang, Hung Tzu-Ti, Lee Shih-Yi
Graduate institute of mechanical and electrical engineering, National Taipei University of Technology, Taipei City, Taiwan.
J Cardiothorac Surg. 2013 Dec 5;8:224. doi: 10.1186/1749-8090-8-224.
Thoracoscopic surgery is a popular widely used surgical technique in the treatment of common chest conditions. Conventional thoracoscopic surgery utilizes multiple small wounds for carrying out the procedure. Many procedures can also be performed with a single small port wound. In this study, we performed diaphragm plication using the techniques of single-port thoracoscopic surgery.
From July 1st, 2008 to December 31th, 2011, there were 21 patients admitted to our hospital due to diaphragm eventration. All of them underwent diaphragm plication. The initial 11 patients underwent two-port thoracoscopic surgery while the subsequent 10 patients underwent single-port thoracoscopic surgery.
The side of diaphragm eventration was on the left in all of the cases. The mean operative time was 87.3 minutes and the mean follow-up time was 17 months. There was no procedure-related complication or mortality. The time required for surgery and the postoperative pain scores were similar in the two groups.
Single-port thoracoscopic surgery for diaphragm plication is a safe procedure. It can serve as an alternative to conventional thoracoscopic approaches to diaphragm surgery.
胸腔镜手术是治疗常见胸部疾病中一种广泛应用的流行手术技术。传统胸腔镜手术利用多个小伤口来实施手术。许多手术也可以通过单个小切口进行。在本研究中，我们采用单孔胸腔镜手术技术进行膈肌折叠术。
2008年7月1日至2011年12月31日，我院收治因膈膨升入院的患者21例。所有患者均接受膈肌折叠术。最初的11例患者接受双孔胸腔镜手术，随后的10例患者接受单孔胸腔镜手术。
所有病例膈膨升均发生在左侧。平均手术时间为87.3分钟，平均随访时间为17个月。无手术相关并发症或死亡。两组手术所需时间和术后疼痛评分相似。
单孔胸腔镜膈肌折叠术是一种安全的手术方法。它可作为传统胸腔镜膈肌手术方法的替代方案。
