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目的：探讨电视胸腔镜手术在胸部疾病的临床应用。方法：以腹腔镜代替胸腔镜对１１例胸部疾病患者进行电视胸腔镜手术。１０例肺大泡破裂病人术中行肺大泡钛夹间断夹闭。其中２例血气胸由于胸内有大量凝血块，胸腔镜下难以清除而附加一个６ｃｍ小切口。１例多汗症患者行两侧胸内交感神经切除。结果：所有病人均成功并安全地进行了手术。无手术并发症及死亡。平均住院８．３天（３～１６天），平均手术时间１０５分钟（４６～１８２分钟）。所有患者术后均随访，临床症状明显改善，疗效满意。结论：电视胸腔镜具有切口小，创伤小，出血少和对心肺功能影响小等优点，是一项很有发展前景的诊治胸内疾病的手段。
Objective: To investigate the clinical application of video-assisted thoracic surgery in chest diseases. Methods: Laparoscopy instead of thoracoscopy in 11 cases of thoracic diseases in patients undergoing video-assisted thoracoscopic surgery. 10 cases of bullae rupture in patients with pulmonary bullae clip folder clip. 2 cases of blood pneumothorax due to a large number of thoracic clot, thoracoscopic difficult to remove and attach a 6cm small incision. One case of hyperhidrosis patients underwent bilateral thoracic sympathectomy. Results: All patients underwent surgery safely and safely. No surgical complications and death. The average hospital stay of 8.3 days (3 to 16 days), the average operation time of 105 minutes (46 to 182 minutes). All patients were followed up after surgery, clinical symptoms improved significantly, the effect is satisfactory. Conclusion: Video-assisted thoracoscopic surgery has the advantages of small incision, less trauma, less bleeding and less impact on cardiopulmonary function. It is a promising method to diagnose and treat intrathoracic diseases.