Kurimoto N, Yamamoto S, Enomoto M, Murayama M
Department of Surgery, Iwakuni-minami Hospital, Japan.
Kyobu Geka. 1993 Jun;46(6):489-93.
In the field of respiratory surgery there is a need for further research and clinical experience with thoracoscopic surgery. It has already proved excellent for pain reduction and mizing of the wound. We describe the method and results of thoracoscopic surgery, which was started in June, 1992. Twelve cases are reported. The procedure consist of : (1) trocar insertion, (2) observation by thoracoscopy, (3) lifting up and cutting off lung tissue, (4) drainage and removal of the trocar. The most important technique needed by the operator is the cooperative motion of both hands which handle forceps, GIA and other instruments. The two indications for thoracoscopic surgery are spontaneous pneumothorax (bullectomy) and diffuse interstitial pulmonary disease (biopsy). Our operation time was 50 to 145 minutes. No complication occurred on the eleven patients. Wound pain was controlled by diclofenac sodium (Voltaren) suppositories on the first day. The wounds (3 spots 2 cm in size) healed well.
在胸外科领域，胸腔镜手术仍需进一步研究并积累临床经验。它已被证明在减轻疼痛和减小伤口方面效果极佳。我们描述了始于1992年6月的胸腔镜手术方法及结果。报告了12例病例。手术步骤包括：（1）套管针插入；（2）胸腔镜观察；（3）提起并切除肺组织；（4）引流及拔出套管针。手术者所需的最重要技术是双手操作钳子、胃肠吻合器及其他器械的协同动作。胸腔镜手术的两个适应证是自发性气胸（肺大疱切除术）和弥漫性间质性肺病（活检）。我们的手术时间为50至145分钟。11例患者未发生并发症。术后第一天用双氯芬酸钠（扶他林）栓剂控制伤口疼痛。伤口（3个2厘米大小的部位）愈合良好。
