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目的:探讨电视胸腔镜手术(Video-Assisted Thoracoscopic Surgery,VATS)切除纵隔肿瘤的临床应用。方法:回顾分析34例应用电视胸腔镜手术切除纵隔肿瘤的患者的临床资料。结果:34例患者均在完全胸腔镜下完成肿瘤切除,无中转开胸。全组无围手术期严重并发症,均治愈出院。手术时间35～140分钟,术中出血量30～290ml,术后胸腔闭式引流管放置时间24～96小时,术后住院时间3～12天。结论:严格把握VATS的禁忌证及适应证、熟练掌握术中操作技术是切除纵隔肿瘤的关键。
Objective: To investigate the clinical application of Video-Assisted Thoracoscopic Surgery (VATS) for resecting mediastinal tumors. Methods: The clinical data of 34 patients undergoing video-assisted thoracoscopic surgery for mediastinal tumor were retrospectively analyzed. Results: Thirty-four patients underwent complete tumor resection under complete thoracoscopic surgery without thoracotomy. The whole group without serious complications of perioperative, were cured. The operation time ranged from 35 to 140 minutes. The intraoperative blood loss was from 30 to 290ml. The postoperative closed thoracic drainage tube was placed for 24 to 96 hours and the postoperative hospital stay was for 3 to 12 days. Conclusion: Strict control of VATS contraindications and indications, proficiency in intraoperative techniques is the key to resecting mediastinal tumors.