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目的:对60例采用胸腔镜手术治疗食管良性肿瘤患者的治疗状况进行总结,以提高临床治疗水平。方法:选取60例食管良性肿瘤患者作为研究对象,均给予电视胸腔镜手术治疗,观察治疗效果,总结手术治疗经验。结果:60例患者VATS手术成功58例,2例患者中转开胸手术。手术时间为38~141min,平均(62.2±12.5)min;术中出血量50~230mL,平均(95±15)mL;术后无死亡病例,未见明显并发症发生;术后引流管拔除时间2~9d,平均(3.8±1.3)d;术后进食时间为1~5d,平均(3.1±0.5)d;术后住院时间5~23d,平均(7.2±2.3)d。对60例患者均进行3~18个月的随访观察,未见复发及死亡病例。结论:食管良性肿瘤患者采用胸腔镜手术治疗效果理想,该法具有损伤小、术后易恢复、住院时间短等优点,值得推广应用。
Objective: To summarize the treatment of 60 cases of esophageal benign tumor treated by thoracoscope in order to improve the clinical treatment. Methods: Sixty patients with esophageal benign tumor were selected as study subjects. All patients underwent video-assisted thoracoscopic surgery. The therapeutic effect was observed and the experience of surgical treatment was summarized. Results: Sixty-eight patients were successfully treated with VATS in 58 cases and two cases were converted to thoracotomy. The operation time was 38 ~ 141min, with an average of (62.2 ± 12.5) min. The intraoperative blood loss was 50 ~ 230mL, with an average of (95 ± 15) mL. No postoperative death occurred and no obvious complication occurred. The mean duration of postoperative hospital stay was (ranged from 2 to 9 days), with an average of (3.8 ± 1.3) days. The postoperative eating time ranged from 1 to 5 days, with an average of (3.1 ± 0.5) days. The postoperative hospital stay was from 5 to 23 days (mean, 7.2 ± 2.3) days. 60 patients were followed up for 3 to 18 months, no recurrence and death cases. Conclusion: The treatment of benign esophageal neoplasm by thoracoscope is effective. The method has the advantages of small damage, easy recovery and short hospital stay, which is worth popularizing and applying.