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[电视辅助胸腔镜手术(VATS)的临床实践]

[The clinical practice of video-assisted thoracic surgery (VATS)].

作者信息

Liu T L, Wang J, Chen H Y

机构信息

First Teaching Hospital, Beijing Medical University.

出版信息

Zhonghua Wai Ke Za Zhi. 1994 Oct;32(10):580-3.

PMID:7750411
Abstract

From November 1992 to March 1994, thirty five patients were performed using VATS in our hospital. The procedures included blebectomy with pleurodesis 14 cases; wedge resection 10 cases; malignant pleural effusion, pleural biopsy and pleurodesis 4 cases; pleural biopsy 3 cases; lung tumor biopsy 2 cases; lung biopsy 2 cases. Converted into thoracotomy 2 cases because of the tumors could not be resected thoracoscopically. No death and severe complication. The procedures were successful for diagnosis and treatment in our series. Compared with standard thoracotomy, the operative trauma, postoperative pain, drainage volume, tube time, postoperative hospitalization were remarkably less in this group (P < 0.05).

摘要

1992年11月至1994年3月,我院对35例患者实施了电视辅助胸腔镜手术(VATS)。手术方式包括:胸膜固定术下的肺大疱切除术14例;楔形切除术10例;恶性胸腔积液、胸膜活检及胸膜固定术4例;胸膜活检3例;肺肿瘤活检2例;肺活检2例。2例因肿瘤无法通过胸腔镜切除而中转开胸。无死亡及严重并发症发生。在我们的系列研究中,这些手术在诊断和治疗方面均获成功。与标准开胸手术相比,该组患者的手术创伤、术后疼痛、引流量、置管时间及术后住院时间均显著减少(P < 0.05)。

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