摘要
目的 探讨电视胸腔镜治疗胸腺肿瘤和重症肌无力 (MG)的手术方法和可行性。方法 1996年 3月至 2 0 0 2年 12月 ,2 2例病人行胸腺瘤和 (或 )重症肌无力胸腔镜手术治疗。其中男 16例 ,女 6例 ;年龄 14～ 77岁 ,平均 44 1岁。行胸腺全切 12例 ,合并MG者行胸腺扩大切除 10例。结果 所有手术均在胸腔镜下完成 ,无中转开胸者。 3例MG病例术后需短暂呼吸机辅助通气 ( <2 4h) ,二次气管插管1例 ,余无严重并发症 ,无手术死亡。平均手术时间 10 8min ,平均胸腔引流 2d ,平均术后住院 4 5d。结论 胸腔镜治疗Ⅰ期胸腺瘤较开胸手术具有创伤小、恢复快等显著优势 ,且符合该类肿瘤的外科治疗原则 ;胸腔镜胸腺扩大切除治疗重症肌无力在技术上是可行的。
Objective: To examine the efficacy and methodology of video-assisted thoracoscopic thymectomy for thymoma and MG. Methods: Twenty-two patients underwent either video-assisted thoracoscopic thymectomy or extended thymectomy between Mar, 1996 and Dec, 2002. There were 16 males and 6 females, aged 17 to 71, mean 44 1 years. 12 thymectomies for thymoma and 10 extended thymectomies for MG were performed. Results: Mean chest tube drainage time was 1 95 days and mean postoperative hospital stay was 4 55 days. 3 of the 10 patients with MG needed temporary mechanical ventilation (less than 24 hrs), and 1 reintubation. There was no mortality. Conclusion: Video-assisted thoracoscopic thymectomy for gradeI thymoma has the superiority of less traumatic and quicker recovery comparing with that through transsternal procedures. Extended thymectomy through VAT is effective and reliable. This technique may be of some value in decreasing postoperative complications and shortening hospital stay.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2003年第2期77-79,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
