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目的总结单操作孔全胸腔镜手术治疗12岁以下儿童纵隔肿瘤的经验。方法 12岁以下儿童纵隔肿瘤48例,行单操作孔全胸腔镜下纵隔肿瘤切除术。所有患儿患侧卧位,腋中线第7—8肋间做腔镜孔,腋前线第3-5肋间做2~3 cm操作孔。结果所有患儿均在单操作孔下完成手术,无中转开胸,其中前纵隔肿瘤8例,中纵隔肿瘤4例,后纵隔肿瘤36例,肿瘤直径2~7 cm,平均(3.69±1.19)cm,手术时间56~153分钟,平均(93.45±35.62)分钟,术中出血10~50 ml,平均(22.74±14.67)ml,总住院时间5~18天,平均(10.67±2.97)天,术后住院时间3~10天,平均(6.13±1.75)天,住院期间无死亡病例,2例术后出现霍纳综合征,其余患儿均恢复。结论单操作孔全胸腔镜下手术治疗儿童纵隔肿瘤,创伤小,恢复快,治疗效果满意。
Objective To summarize the experience of a single operation hole thoracoscopic surgery for mediastinal tumors in children under 12 years of age. Methods 48 cases of mediastinal tumors in children under 12 years old, underwent single thoracoscopic surgery under mediastinum tumor resection. All patients suffering from lateral position, axillary midline 7-8 intercostal cavity mirror hole made, the axillary line 3-5 intercostal do 2 ~ 3 cm operation hole. Results All patients underwent surgery under a single operation hole. Among them, there were 8 cases of anterior mediastinal tumors, 4 medium mediastinal tumors, 36 posterior mediastinal tumors and 2 ~ 7 cm of tumors with an average of 3.69 ± 1.19, cm, the operation time was 56 to 153 minutes, with an average of (93.45 ± 35.62) minutes, intraoperative bleeding of 10 to 50 ml, mean (22.74 ± 14.67) ml and total hospital stay of 5 to 18 days with an average of (10.67 ± 2.97) days After hospitalization for 3 to 10 days, with an average of (6.13 ± 1.75) days, there were no deaths during the hospitalization. Two patients had Horner’s syndrome after operation, and the rest of the children recovered. Conclusion Single thoracoscopic surgery in the treatment of mediastinal tumors in children, trauma, rapid recovery, the treatment effect is satisfactory.