Zhu E L, Shan G F, Long G L
Xinhua Hospital, Shanghai Second Medical University.
Zhonghua Wai Ke Za Zhi. 1994 Oct;32(10):595-7.
Nineteen cases (14 males and 5 females) had been operated with thoracoscopic surgery. Ten cases of spontaneous pneumothorax and 1 spontaneous hemopneumothorax had been underwent thoracoscopic bullous or bleb resections by Endo-GIA 30 or 60. Four cases of plural effusion including primary and secondary malignancies were performed to be pleurodesis by talc sclerosis. Among 4 cases of lung mass, 3 were operated by wedge resection. Lobectomy was performed by VATS in one case with primary lung cancer (T1N0). VATS were satisfactory by using the 3 small incisions giving the advantage of rapid and complete recovery without any obvious complications. Even no any secondary pneumonia. So far the VATS is not fully accepted in China due to the cost of the disposable instruments.
19例（14例男性和5例女性）接受了胸腔镜手术。10例自发性气胸和1例自发性血气胸患者通过Endo-GIA 30或60进行了胸腔镜下肺大疱或肺小疱切除术。4例包括原发性和继发性恶性肿瘤的胸腔积液患者通过滑石粉硬化进行胸膜固定术。在4例肺部肿块患者中，3例接受了楔形切除术。1例原发性肺癌（T1N0）患者通过电视辅助胸腔镜手术（VATS）进行了肺叶切除术。使用3个小切口进行的VATS效果令人满意，具有恢复迅速且完全、无明显并发症的优点。甚至没有发生任何继发性肺炎。由于一次性器械的成本，目前VATS在中国尚未被完全接受。
