摘要
目的:探讨电视胸腔镜手术(VATS)在胸外科领域的应用和并发症的预防方法。方法:回顾总结应用电视胸腔镜技术治疗505例胸部疾病患者的临床资料,其中包括肺大泡引起的自发性气胸和肺部疾病。结果:全组无手术死亡,505例胸腔镜手术中218例在辅助小切口下进行,术后无气胸复发,3例术后漏气,4例血胸,其中2例剖胸止血,1例支气管胸膜瘘。手术并发症发生率1.5%(8/505)。结论:VATS比传统胸外科手术具有微创、美观、康复快等优点,在胸外科有广阔的应用空间。
Objective：To study the technique of video assisted thoracoscopic surgery（VATS） in treatment of thoracic disease and the method of precaution of the complications. Methods：The total of 505 patients underwent two or three trocars and assisted minimal incision VAST for spontaneous pneumothorax （175 ）, pulmonary diseases（330）, from January 2004 to February 2008. Results： Complications occurred in 8 （ 1.5 % ） patients, none spontaneous pneumothorax patients reoccurred postoperative ly,3 patients had persistent airleak postoperatively , 4 patients had hemothorax 1 patient had bronchopleural fistula. Conclusion： VATS is a new skill of thoracic surgery,it has more advantages than traditional thoracic surgery , more attentions should be paid to prevent and reduce complication.
出处
《中国临床医学》
2009年第1期56-57,60,共3页
Chinese Journal of Clinical Medicine
关键词
电视胸腔镜手术
肺部疾病
Video-assisted thoracoscopic surgery
Thoracic disease
