双侧肺大疱同期电视胸腔镜外科治疗53例分析

目的:分析总结电视胸腔镜(video-assisted thoracoscopic surgery,VATS)治疗双侧同期肺大疱的经验.方法:53例双侧肺大疱均采用同期VATS手术,其中11例辅助胸腔镜小切口(video-assisted minithoracotomy,VAMT).结果:全部治愈,术后平均留置胸腔引流管4.6天,13例术后发生肺水肿、再次气胸及呼吸衰竭等并发症,术后平均住院14.6天,随访1个月至5年.结论:双侧肺大疱采用同期VATS手术是首选治疗方法,较常规双侧肺大疱切除术相比VATS创伤小,住院时间缩短,术后疼痛轻,恢复快.

Surgical treatment of video-assisted thoracoscopic surgery for bilateral bullous lung disease in one-stage operation of 53 cases

objective:To evaluate the experience of video-assisted thoracoscopic surgery(VATS)for bilateral bullous lung disease in the one-stage operation.Methods:One-stage operation VATS procedures were performed on 53 patients with bilateral ballous lung disease.11 patients were operated with video-assisted minithoracotomy(VAMT).Results:All patients were cured.The mean duration of chest drainage after surgery was 4.6 days.Postoperative complications occurred in 13 cases,including pulmonary edema,pneumothorax again respiratory failure and so on.The mean postoperative hospital stay was 14.6 days.The patients were followed up 1 month to 5 years.Conclusion:VATS is an effective and preferred method for bilateral bullous lung disease.Advantages of VATS over conventional open techniques for bilateral bullous lung disease include shorter hospital stays,less postoperative pain,and earlier return to work.