Shibata K, Tsunooka H, Sasaki S, Niwa A, Oowa T, Sumita H
Department of Pulmonary Surgery, Toyokawa City Hospital, Aichi, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Sep;41(9):1506-10.
A 44-year-old female with bronchogenic cyst in the posterior mediastinum was treated successfully by employing imaged thoracoscopic surgical methods in the same way as laparoscopic cholecystectomy. The patient was placed in the left lateral decubitus position. A first 3.5 cm skin incision was made in the seventh intercostal space on the mid-axillary line. A 10 mm, 0-degree Olympus wide angle telescope was inserted for observation into the thoracic cavity. And three more small skin incisions were done. A grasping forceps, a padron retractor and an electrode with J-hook tip were introduced through each incision. The cyst was completely dissected almost with the J-hook electrode. She was discharged on the 10th-postoperative day without complication and with minimal pain. We suggest that an indication of the imaged endoscopic surgery could be established for some benign mediastinal tumors.
一名44岁患有后纵隔支气管囊肿的女性患者，采用与腹腔镜胆囊切除术相同的影像胸腔镜手术方法成功接受治疗。患者取左侧卧位。在腋中线第七肋间做一个3.5厘米的皮肤切口。插入一台10毫米、0度的奥林巴斯广角望远镜用于观察胸腔。再做三个小的皮肤切口。通过每个切口分别插入一把抓钳、一个帕德龙牵开器和一个带J形钩尖端的电极。囊肿几乎完全用J形钩电极剥离。患者术后第10天出院，无并发症，疼痛轻微。我们建议可为某些良性纵隔肿瘤确立影像内镜手术的适应证。
