剑突下单孔电视辅助胸腔镜手术（VATS）肺叶切除术：105例报告
Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases.
作者信息
Song Nan, Zhao De-Ping, Jiang Lei, Bao Yi, Jiang Ge-Ning, Zhu Yu-Ming, Ding Jia-An
机构信息
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
出版信息
J Thorac Dis. 2016 Mar;8(Suppl 3):S251-7. doi: 10.3978/j.issn.2072-1439.2016.02.32.
Abstract
BACKGROUND
To address the feasibility and advantages of subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy.
METHODS
Since August 2014, 105 cases of subxiphoid uniportal VATS lobectomy were successfully performed. The clinical information was retrospectively analyzed.
RESULTS
96 cases underwent unilateral operation and 9 underwent bilateral operations. Surgeries were successfully performed with a complication rate of 10.5%. The average pain scores 8 hours, day 1, 2 and 3 after surgery, as well as the day before discharge were 2.39±0.99, 2.06±0.85, 1.68±0.87, 1.29±0.78, and 0.48±0.51, respectively, which were significantly lower than those in the control group (standard intercostal uniportal VATS) (P<0.001).
CONCLUSIONS
The subxiphoid uniportal VATS lobectomy is safe and reliable, which is appropriate for bilateral lung diseases, and significantly relieves postoperative incision pain.
摘要
背景
探讨剑突下单孔电视辅助胸腔镜手术（VATS）肺叶切除术的可行性及优势。
方法
自2014年8月起，成功实施105例剑突下单孔VATS肺叶切除术。对临床资料进行回顾性分析。
结果
96例行单侧手术，9例行双侧手术。手术均成功完成，并发症发生率为10.5%。术后8小时、第1天、第2天、第3天及出院前1天的平均疼痛评分分别为2.39±0.99、2.06±0.85、1.68±0.87、1.29±0.78及0.48±0.51，均显著低于对照组（标准肋间单孔VATS）（P<0.001）。
结论
剑突下单孔VATS肺叶切除术安全可靠，适用于双侧肺部疾病，且能显著减轻术后切口疼痛。
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