摘要
探讨电视胸腔镜手术(VATS)在老年人胸部疾病治疗中的价值。方法:1996年6月至1998年2月,对32例年龄为60~82(平均683)岁的老年人施行VATS,其中局限性肺切除10例,肺叶切除5例,肺大泡切除3例,肺癌分期5例,胸膜活检、切除及固定术6例,血胸清肺修补、纵隔肿瘤切除及食管裂孔疝补术各1例。占同期VATS手术的377%。结果:全组无死亡。术后并发症发生率为219%。
Objective:To estimate the value of video-assisted thoracic surgery (VAST) in the elder patients for treament of chest diseases. Methods: From Jun., 1996 to Feb., 1998, thirty-two elder patients recieved VATS at our hospital, and ocuppied about 37.7% of overall VATS during same time period. The procedures included wedge or limited resection of lung tumor in 10 patients; pneumolobectomy in 5; bullectmy in 3; lung cancer staging in 5; pleural biopsies, resection and pleurodesis in 6; hemothorax Cleaning pneumonorrhappy in 1; resection of mediastinal tumor in 1; and esophageal hiatal herniorrhappy in 1; Results: There was no operative death in all group. The postoperative morbidity was 21.9%. Conclusion: Video-assisted thoracoseopy is a safe and feasible operation in the elderly, when it is carried out by a thoracic surgeon well-trained and sufficiently awared of clinical charactetistics of the elderly.
出处
《暨南大学学报(自然科学与医学版)》
CAS
CSCD
1998年第6期106-107,共2页
Journal of Jinan University(Natural Science & Medicine Edition)