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目的:探讨电视纵隔镜辅助颈部低领式切口切除前上纵隔肿瘤的手术方式和应用价值。方法:自2005-01/2007-12对28例前上纵隔肿瘤行电视纵隔镜辅助颈部弧形切口切除术,其中胸骨后甲状腺肿瘤13例(恶性1例,良性12例),胸腺瘤9例,脂肪瘤2例,淋巴囊肿2例,皮样囊肿1例,心包囊肿1例。结果:手术均顺利完成,无手术死亡和严重并发症,手术平均时间2 h,术中平均失血量150 ml,平均术后住院7 d。结论:电视纵隔镜辅助颈部低领式切口切除前上纵隔肿瘤,可达到传统经胸手术效果,手术显露充分,操作确切可靠,创伤小、恢复快,有重要临床应用价值。
Objective: To explore the method and application of video-assisted mediastinoscopy in aiding the anterior mediastinal anterior small-neck incision in the neck. METHODS: Twenty-eight anterior mediastinum tumors were assisted by video mediastinoscopy for cervical arc incision from January 2005 to December 2007, including 13 cases of retrosternal thyroid tumor (1 malignant, 12 benign), thymoma 9 Cases, lipoma in 2 cases, lymphatic cyst in 2 cases, dermoid cyst in 1 case, pericardial cyst in 1 case. Results: All the operations were successfully completed. There was no operative death and serious complications. The mean operation time was 2 hours. The average intraoperative blood loss was 150 ml. The average postoperative hospital stay was 7 days. Conclusion: Video-assisted mediastinoscopy assisted the neck low-neck incision in the resection of the anterior mediastinal tumor, which can achieve the effect of traditional transthoracic surgery. It has sufficient operation, reliable operation, less trauma and rapid recovery. It has important clinical value.