摘要
目的总结开展胸腔镜辅助小切口肺叶切除术的经验。方法分析我科57例胸腔镜辅助小切口(VAMT)肺叶切除术患者临床资料。结果全组胸腔镜探查后即行VAMT肺叶切除42例,拟行全胸腔镜手术(c-VATS)而术中中转为VAMT15例。平均手术时间142.7±37.2 min,术中出血平均386.5±141.5 ml;术后平均住院时间9.21±3.62 d。全组无围术期死亡;1例并发术后出血,再次手术后恢复;余患者无严重并发症。结论 VAMT兼具传统开胸与VATS手术优势,可满足各种肺叶切除术及处理术中出血需要。
Objective To summarize the experience of video-assisted mini-thoracotomy （VAMT） in pulmonary lobectomy. Methods The clinical parameters and operative skills of video-assisted Mini-thoracotomy （VAMT） in pulmonary lobeetomy from March 2010 to January 2012 were retrospectively analyzed. Results 42 patients received VAMT after VATS exploration immediately, and 15 pa- tients were given c-VATS at first and converted to VAMT. The average operation time was 142. 7 minutes; the average blood loss was 386. 5 ml; and the average hospital stay was 9.21 days. No death happened in peri-operation period and 1 patient received second opera- tion because of postoperative bleeding. Conclusion VAMT has the advantages of traditional thoracotomy and VATS. Therefore, many types of lobectomies and hemostasis during operation could be performed via VAMT.
出处
《临床肺科杂志》
2012年第12期2207-2208,共2页
Journal of Clinical Pulmonary Medicine
关键词
胸腔镜辅助小切口
肺叶切除术
中转开胸
胸腔镜手术
video-assisted mini-thoracotomy
pulmonary lobectomy
conversion to thoracotomy
thoracoscopic surgery
