Suzuki T, Kitami A, Hori G, Yamashiro M, Ikeda T, Takahashi H
Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Jan;41(1):97-100.
A thoracoscopic operation was safely performed for a case of a intrathoracic tumor. The patient was a 68-year-old male who had been treated for bronchial asthma and recurrent pneumonia. The reason for a successful operation were one-lung-ventilation under general anesthesia, the thoracoscopic electrocautery, the thoracoscopic ultrasonic surgical aspiration system, and thoracoscopic hemoclips. Pathologically the tumor was a benign mesothelioma. The patient was discharged without complications. In the treatment of intrathoracic benign diseases, thoracoscopic surgery is thought to be particularly useful to patients who are at high-risk in conventional thoracic operations due to accompanying respiratory diseases, as well as to patients requiring incisions as small as possible.
为一例胸腔内肿瘤患者成功实施了胸腔镜手术。患者为一名68岁男性,曾接受过支气管哮喘和复发性肺炎的治疗。手术成功的原因包括全身麻醉下的单肺通气、胸腔镜电灼、胸腔镜超声手术吸引系统以及胸腔镜血管夹。病理检查显示肿瘤为良性间皮瘤。患者术后无并发症出院。在胸腔内良性疾病的治疗中,胸腔镜手术被认为对因伴有呼吸系统疾病而在传统开胸手术中处于高风险的患者,以及对需要尽可能小切口的患者特别有用。