Yamada K, Uchida Y, Inoue S, Murase M
Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Apr;45(4):632-4.
We recently experienced two emergency operating cases using video-assisted thoracoscopy. First case was a 17-year-old male with foreign body and pneumothorax in the right thorax. He was emergencilly treated by means of video-assisted thoracoscopic surgery. The operation was carried out using double-lumen endotracheal anesthesia. Short trocars were inserted through the right intercostal spaces to introduce a flexible video thoracoscope and surgical instruments. Foreign body was looked for easily and removed out. Second case was a 22-year-old male with hemo-pneumothorax at the right side. He was treated using video-assisted thoracoscopy emergencilly. Bleeding point was searched and hemostasis was done by the electrical mess and the clip. Bulla was removed out with surgical instruments. These were good adaptation of emergency operation using video-assisted thoracoscope. The advantages of this thoracoscopic surgery are: less operative invasion and postoperative pain, early recovery and short hospital stay, and cosmetic preservation.
我们最近经历了两例使用电视辅助胸腔镜的急诊手术病例。第一例是一名17岁男性，右胸有异物和气胸。他通过电视辅助胸腔镜手术进行了紧急治疗。手术采用双腔气管内麻醉。通过右肋间间隙插入短套管，以引入可弯曲的电视胸腔镜和手术器械。异物很容易找到并取出。第二例是一名22岁男性，右侧血气胸。他通过电视辅助胸腔镜进行了紧急治疗。寻找出血点，用电凝和夹子进行止血。用手术器械切除肺大疱。这些都是电视辅助胸腔镜急诊手术的良好适应证。这种胸腔镜手术的优点是：手术侵袭性小、术后疼痛轻、恢复快、住院时间短以及保持美观。
