单操作孔电视胸腔镜手术切除纵隔肿瘤32例临床分析

目的探讨单操作孔电视胸腔镜手术（Video-Assisted Thoracoscopic Surgery, VATS）切除纵隔肿瘤的可行性及临床意义。方法2006年8月-2009年11月，我院采用单操作孔VATS手术切除纵隔肿瘤32例，其中胸腺瘤15例，胸腺囊肿6例，神经源性肿瘤4例，畸胎瘤3例，支气管囊肿3例，心包囊肿1例。所有手术均在胸腔镜下完成。结果全部患者手术顺利，无中转开胸，手术时间（92．7±16．2）min；术中出血（110．5±24．6）ml；胸腔引流管拔出时间（2．1±1．3）d；术后住院时间（5．2±1．2）d。全部患者术后恢复顺利，无肺不张、肺部感染、出血等并发症，无围手术期死亡。结论单操作孔VATS切除纵隔肿瘤技术上可行，具有创伤小、恢复快等优点。

Mediastinal tumors resection by single utility port video-assisted thoracoscopic surgery:analysis of 32 cases

Objective To explore the feasibility and clinical significance of mediastinal tumors resection by single utility port videoassisted thoracoscopic surgery. Methods From August 2006 to November 2009, 32 cases underwent mediastinal tumor resection with single utility port video-assisted thoracoscopic surgery. Of all patients, thymoma was 15 cases, thymic cysts 6 cases, neurogenic tumor 4 cases, teratoid tumor 3 cases, bronchogenics cyst 3 cases, pericardium cysts 1 cases. Results The operation process were smooth in all patients and no conversion to thoracotomy was occurred. The mean operative time was （92.7± 16.2）rain and the mean intraoperative blood loss was （110.5 ± 24.6）mi. The average chest tube drainage time was （2.1± 1.3）days, and the mean hospital stay was （5.2± 1.2）days. All patients recovered smoothly without severe complications. There were no post-operative deaths. Conclusions Mediastinal tumor resection by single utility port video-assisted thoracoscopic surgery is technically feasible and has the advantages of minimal invasive and rapid recovery.