摘要
目的总结电视胸腔镜辅助下小切口肺癌切除术的方法。方法回顾性分析了35例手术患者的临床资料。本组患者中肺叶切除22例,全肺切除13例,中转开胸手术1例。结果所有手术患者均安全度过围手术期,无手术死亡病例;与常规开胸手术比较,电视胸腔镜辅助肺癌切除术具有创伤小、术后恢复快的优点。结论电视胸腔镜下小切口肺癌切除术有其严格的手术指征,还不能完全替代常规开胸手术,但只要指征明确,手术操作得当,则比胸外科常规手术有明显优势。
Objective To summarize pneumonectomy with mini-incision by video assisted thoracoscopy surgery （VATS）. Methods We retrospectively reviewed the VATS patients. A thoracoscopic curative approach was attempted in 35 patients （22 lobectomy,13 pneumonectomy）. Results There was no operative death. Video assisted thoracic surgery techniques resulted in decreased recovery times and fewer perioperative complications. It was associated with decreased perioperative pain and opiate requirement, and better postoperative pulmonary function. Conclusion Major VATS pulmonary resection with lobectomy and pneumonectomy can be performed for early malignant disease without compromising established surgical principles. There is obviously superiority compared with thoracotomy. However the stringent selection of candidates for VATS in pneumonectomy should be an acceptable approach, it was not a substitute of thoracotomy.
出处
《中国药业》
CAS
2008年第9期57-58,共2页
China Pharmaceuticals
关键词
电视胸腔镜
肺癌切除术
分析
video assisted thoracoscopy surgery
pneumonectomy
analysis
