摘要
目的：探讨全胸腔镜肺切除术治疗肺曲菌球的安全性及可行性。方法回顾分析我院2008年7月-2013年9月全胸腔镜肺切除术治疗肺曲菌球41例的临床资料，均有反复咯血，术前CT提示肺曲菌球可能，病灶直径1-5 cm。肺叶切除术29例，肺段切除术8例，肺楔形切除术4例。结果手术时间：29例肺叶切除（156．4±57．7） min，8例肺段切除（167．5±56．4）min，4例肺楔形切除分别为35、47、54、65 min。出血量20-1100 ml，中位数150 ml。中转开胸3例（胸顶粘连）。术后胸管引流时间2-11 d，中位数3 d；术后住院时间4-19 d，（8±2）d。术后30天无死亡，无严重并发症发生。39例术后随访6-24个月，平均12．5月，5例有少量间断痰血。结论全胸腔镜肺切除术治疗单纯型肺曲菌球是一种安全、可行的手术方法。
Objective To explore the safety and feasibility of total thoracoscopic surgery for pulmonary aspergilloma disease . Methods A retrospective analysis of 41 cases of total thoracoscopic surgery for pulmonary aspergilloma disease in our hospital from July 2008 to September 2013, including lobectomy of lung in 29 cases, segmental resection of lung in 8 cases, and pulmonary wedge resection in 4 cases, was conducted. Results The operative time was （156.4 ±57.7） minutes for lobectomy, （167.5 ±56.4） minutes for pulmonary segmental resection , and 35, 47, 54, and 65 minutes for pulmonary wedge resection , respectively.The bleeding volume was 20-1100 ml （median, 150 ml）.A conversion to open operation was required in 3 cases because of adhesion. After the operation, the chest tube duration was 2-11 days （median, 3 days）, and the length of hospitalization was 4 -19 days （mean, 8 ±2 days）.No death or serious complications occurred within 30 days after the operation.In the follow-up for 6-24 months （mean,12.5 months） after operation, small amount of blood in the sputum was found in 5 cases. Conclusion total thoracoscopic surgery for simple pulmonary aspergilloma disease is a safe and practicable surgical method .
出处
《中国微创外科杂志》
CSCD
2014年第9期809-811,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
胸腔镜检查
肺切除术
肺曲菌球
Thoracoscopy Lung resection Pulmonary aspergilloma
