论文部分内容阅读
目的探讨单孔全胸腔镜手术在胸部疾病治疗中的可行性及安全性。方法2015年3月~5月，施行全麻双腔气管插管下单孔全胸腔镜手术25例。于腋前线与腋中线间第4或第5肋间做切口长3~5 cm，置入10 mm 30o胸腔镜和器械，行肺大疱切除+胸膜固定术3例，肺楔形切除术3例，病变活检+Ⅰ125放射性粒子植入术1例，纵隔肿瘤切除术1例，肺叶切除4例，肺癌根治术13例。结果1例增加一个辅助操作孔,1例中转开胸。手术时间为70~347min，平均191min；术中出血10~300 ml，平均89ml；胸腔闭式引流时间1~7d，平均3.6 d；术后住院2~9d，平均4.6d。全组无术后持续漏气、无肺不张、肺部感染、出血及肺栓塞等严重并发症，无围手术期死亡。结论单孔胸腔镜手术治疗胸部各种疾病安全可行，可重复，值得推广。“,”Objective To explore the safety and feasibility of single- port complete video-assisted for treatment chest lesion. Methods A total of 25 cases of Chest lesion underwent single-port complete video-assisted thoracoscopic surgery in double lumen endotracheal intubation under general anesthesia in our hospital from March 2015 to May 2015.The incision of about 3~5 cm long was cut between the anterior axil ary line and the midaxil ary line in the fourth or fifth intercostal space and 10 mm 30°thoracoscope and instruments were inserted through the incision.25 patients underwent single-port cVATS procedure including procedure including:among which 3 cases of pulmonary bul a resection and pleurodesis,3 cases of wedge resection of the lung,1 cases of mediastinal tumor biopsy and Iodine125 implant surgery,1 case of mediastinal tumor excision, 4 case of lobectomy,13 case of lung cancer resection.Results 1 case of patient need converse to biportal and 1 open .The average operative time was 191 min (70~347 min).The average blood loss was 89 ml (10~300 ml).The average time of closed thoracic drainage was 3. 6 d (1~7d).The average time of postoperative hospital stay was 4. 6 d (2~9 d).No postoperative severe complications and death occurred.Conclusion The way of single-port complete video-assisted for treatment chest lesion is a safe, feasible and reproducible surgical procedure,worth popularizing.