剑突下入路胸腔镜前纵隔肿瘤切除术的临床应用。
Clinical Application of Thoracoscopic Resection of Anterior Mediastinal Tumors under the Xiphoid Process.
机构信息
Department of Thoracic Surgery, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu 214023, China.
Department of Cardiothoracic Surgery, Jiangyin Clinical College of Xuzhou Medical University, Wuxi, Jiangsu 214400, China.
出版信息
Biomed Res Int. 2022 Aug 23;2022:2012457. doi: 10.1155/2022/2012457. eCollection 2022.
OBJECTIVE
To explore the feasibility and advantages of thoracoscopic resection of anterior mediastinal tumors through subxiphoid and lateral thoracic approaches.
METHOD
74 patients with anterior mediastinal tumors hospitalized in our hospital from January 2019 to January 2022 were retrospectively analyzed. They were divided into the lateral chest group (31 cases) and the infraxiphoid group (43 cases) according to different operation methods. The tumor size, operation time, intraoperative bleeding, postoperative pain score, postoperative complications, postoperative drainage tube removal time, and hospital stay were compared between the two groups.
RESULT
The intraoperative bleeding and postoperative pain scores in the subxiphoid group were better than those in the lateral chest group. There was no significant difference in operation time and postoperative complications between the two groups.
CONCLUSION
Compared with the lateral thoracic approach, the thoracoscopic subxiphoid approach can be more safe and effective in resectioning anterior mediastinal tumors.
目的
探讨经剑突下和侧胸入路行胸腔镜前纵隔肿瘤切除术的可行性和优势。
方法
回顾性分析 2019 年 1 月至 2022 年 1 月我院收治的 74 例前纵隔肿瘤患者，根据手术方法的不同分为侧胸组（31 例）和剑突下入路组（43 例）。比较两组患者的肿瘤大小、手术时间、术中出血量、术后疼痛评分、术后并发症、术后引流管拔除时间及住院时间。
结果
剑突下入路组术中出血量及术后疼痛评分均优于侧胸组，两组手术时间及术后并发症比较，差异无统计学意义。
结论
与侧胸入路相比，胸腔镜经剑突下入路在切除前纵隔肿瘤方面更安全、有效。
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