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目的 :介绍一种新的微创技术———经自制硬直镜行肺肿瘤切除术。方法 :总结分析 1993年 3月～ 1999年 3月采用本法完成的肺楔型切除术 18例 ,左肺下叶切除术 1例 ,右肺中下叶切除术 1例 ,右肺下叶背段切除术 1例 ,纵隔肿瘤切除术 1例的临床资料。结果 :手术切口长 4～ 8cm ,手术时间 15～30min ,术中出血 2 0～ 50ml ,均未输血 ,无术后并发症 ,术后平均住院时间 8.5天 (不包括肺叶切除者 )。结论 :与标准剖胸手术相比 ,本术式具有创伤小 ,手术时间短 ,术中出血少 ,无需输血 ,无术后并发症 ,术后切口疼痛轻 ,下床活动早 ,术后住院时间短等优点 ,可作为肺良性肿瘤手术治疗的常规术式 ,也可应用于肺恶性肿瘤减瘤术
Objective : To introduce a new minimally invasive technique --- lung tumor resection by self-made hard straight lens. METHODS: A total of 18 cases of pulmonary wedge resections performed from March 1993 to March 1999 were analyzed retrospectively. Left lower lobe resection was performed in 1 case. Right middle lobe resection was performed in 1 case. Right lung lower lobe back was performed. Segmental resection in 1 case, mediastinal tumor resection in 1 case of clinical data. RESULTS: The incision length was 4-8cm, the operation time was 15-30min, intraoperative bleeding was 2-0-50ml, no blood transfusion, no postoperative complications. The average hospital stay was 8.5 days (excluding lobectomy). Conclusion: Compared with standard thoracotomy, this surgical procedure has the advantages of less trauma, shorter operation time, less intraoperative blood loss, no blood transfusion, no postoperative complications, mild postoperative incision pain, early out of bed activities, postoperative hospital stay Short-term advantages can be used as a routine surgical treatment for benign lung tumors, and can also be applied to the reduction of malignant tumors of lungs.