目的 探讨电视胸腔镜(VATS) 肺叶切除术治疗肺良性疾病的价值,总结治疗经验。 方法 2009年1月至2012年9月苏州大学附属第一医院收治85例肺良性病变患者,其中男 46例,女39例;平均年龄51.3岁。病种包括支气管扩张症、结核球或结核性空洞、炎性假瘤、巨型肺大泡(>10 cm)、肺囊肿、肺隔离症等。85例患者均接受电视胸腔镜肺叶切除术,行左肺上叶切除术20例,左肺下叶切除术20例,右肺上叶切除术21例,右肺中叶切除术5例,右肺下叶切除术19例。 结果 85例电视胸腔镜肺叶切除术中2例因出血中转开胸。手术时间(156.6±53.2) min,术中出血量(165.7±92.3) ml,术后胸腔引流时间(5.2±1.7) d,术后引流液量(138.5±14.6) ml,术后住院时间(3.9±0.9) d,术后疼痛时间(2.8±1.1) d。随访6个月,均无围手术期死亡及严重并发症发生。 结论 电视胸腔镜肺叶切除术治疗肺良性疾病创伤小,患者恢复快,是一种安全有效的手术方式。
Citation:
何靖康,唐兴,黄海涛,宋心雨,徐澄澄. 电视胸腔镜肺叶切除术在肺良性疾病中的应用. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2013, 20(4): 482-483. doi: 10.7507/1007-4848.20130144
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Li JF, Yang F, LI Y, et al. Continuous 100 cases of completely thoracoscopic lobectomy for clinical analysis. J Thorac Cardiovasc Surg, 2009, l6 (1):1-4.
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Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. Clin Oncol, 2009, 27 (15):2553-2562.
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Petasen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37 (3):516-520.
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刘伦旭, 车国卫, 王允, 等. 电视胸腔镜手术治疗肺良性疾病128例. 中国胸心血管外科临床杂志, 2008, 15 (1):29-31.
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Alam N, Flores RM.Video-assisted thoracic surgery (VATS) lobectomy:the evidence base. JSLS, 2007, 11 (3):368-374.
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杨帆, 李运, 刘军, 等. 全胸腔镜肺叶切除术治疗肺良性疾病. 中华外科杂志, 2009, 47 (6):454-456.
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周足力, 赵辉, 李运, 等. 全胸腔镜肺叶切除治疗支气管扩张症. 中国微创外科杂志, 2010, 10 (8):686-687, 699.
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翁毅敏, 谷力加, 黄邵洪, 等. 支气管扩张症的胸腔镜治疗. 中国内镜杂志, 2005, 11 (6):563-565.
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Lewis RJ. Simultaneously stapled lobectomy:a safe technique for video-assisted thoracic surgery. J Thorac Cardiovasc Surg, 1995, 109(4):619-625.
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- 1. Li JF, Yang F, LI Y, et al. Continuous 100 cases of completely thoracoscopic lobectomy for clinical analysis. J Thorac Cardiovasc Surg, 2009, l6 (1):1-4.
- 2. Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. Clin Oncol, 2009, 27 (15):2553-2562.
- 3. Petasen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37 (3):516-520.
- 4. 刘伦旭, 车国卫, 王允, 等. 电视胸腔镜手术治疗肺良性疾病128例. 中国胸心血管外科临床杂志, 2008, 15 (1):29-31.
- 5. Alam N, Flores RM.Video-assisted thoracic surgery (VATS) lobectomy:the evidence base. JSLS, 2007, 11 (3):368-374.
- 6. 杨帆, 李运, 刘军, 等. 全胸腔镜肺叶切除术治疗肺良性疾病. 中华外科杂志, 2009, 47 (6):454-456.
- 7. 周足力, 赵辉, 李运, 等. 全胸腔镜肺叶切除治疗支气管扩张症. 中国微创外科杂志, 2010, 10 (8):686-687, 699.
- 8. 翁毅敏, 谷力加, 黄邵洪, 等. 支气管扩张症的胸腔镜治疗. 中国内镜杂志, 2005, 11 (6):563-565.
- 9. Lewis RJ. Simultaneously stapled lobectomy:a safe technique for video-assisted thoracic surgery. J Thorac Cardiovasc Surg, 1995, 109(4):619-625.