| 低成本两孔胸腔镜手术治疗原发性气胸 |
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| 引用本文： | 莫安胜,杨小平,冯志强,罗玉忠,莫绍雄,吴军,韦懿桐,黄强信. 低成本两孔胸腔镜手术治疗原发性气胸[J]. 中华腔镜外科杂志(电子版), 2016, 9(5): 281-284. DOI: 10.3877/cma.j.issn.1674-6899.2016.05.006 |
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| 作者姓名： | 莫安胜 杨小平 冯志强 罗玉忠 莫绍雄 吴军 韦懿桐 黄强信 |
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| 作者单位： | 1. 530023 南宁，广西中医药大学第一附属医院心胸血管外科 |
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| 基金项目： | 广西壮族自治区卫生与计划委员会课题(Z2013172) |
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| 摘 要： | 目的探讨一种简单、微创、经济的腔镜方法治疗自发性气胸。 方法收集2011年10月至2016年2月胸腔镜手术治疗自发性气胸84例，其中两孔胸腔镜肺大疱结扎54例(试验组)，三孔胸腔镜肺大疱切割缝合器楔形切除30例(对照组)。试验组，根据胸壁不同厚度把肺大疱拉近操作孔或拉至操作孔或拉出操作孔用手直接结扎/缝扎后做机械摩擦的胸膜固定术；对照组按常规进行，用切割缝合器行肺楔形切后做机械摩擦的胸膜固定术。 结果两组患者的临床效果差异无统计学意义(P>0.05)，试验组的住院费用低于对照组[(16 747.30±2 586.41) 元 vs (21 088.54±6 005.68)元，P<0.05]。 结论两孔胸腔镜下肺大疱用手缝扎/结扎技术治疗自发性气胸简单、微创、经济。
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| 关 键 词： | 两孔胸腔镜 原发性气胸 结扎 医疗成本 |
| 收稿时间： | 2016-08-01 |
Low-cost biportal endoscopic surgery for primary spontaneous pneumothorax |
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| Ansheng Mo,Xiaoping Yang,Zhiqiang Feng,Yuzhong Luo,Shaoxiong Mo,Jun Wu,Yitong Wei,Qiangxin Huang. Low-cost biportal endoscopic surgery for primary spontaneous pneumothorax[J]. Chinese Journal of Laparoscopic Surgery ( Electronic Editon), 2016, 9(5): 281-284. DOI: 10.3877/cma.j.issn.1674-6899.2016.05.006 |
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| Authors: | Ansheng Mo Xiaoping Yang Zhiqiang Feng Yuzhong Luo Shaoxiong Mo Jun Wu Yitong Wei Qiangxin Huang |
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| Affiliation: | 1. Department of Cardiothoracic Surgery, First Affiliated Hospital of Guangxi Traditional Chinese Medical University, Nanning 530023, China |
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| Abstract: | ObjectiveEndoscopic surgery offers many benefits. However, the need for more expensive endoscopic consumables brings further high medical costs. Here, we introduced a method of video-assisted thoracic surgery with no disposable consumables. MethodsBetween Oct. 2011 and Feb. 2016, a series of 84 patients with primary spontaneous pneumothorax underwent hand ligation of blebs under biportal video-assisted thoracoscopic surgery or bullectomy with stapler during triportal video-assisted thoracoscopic surgery. After treatment of blebs, pleural abrasion was performed with an electrocautery cleaning pad. ResultsCompared with the group treated by bullectomy with stapler, we found a significant reduction in postoperative costs in the group with bleb ligation. There was no difference in operating time, chest tube drainage(P>0.05), postoperative stay, and recurrence between the two groups[(16 747.30±2 586.41) yuan vs (21 088.54±6 005.68)yuan, P<0.05] . ConclusionsBiportal thoracoscopic bleb ligation for primary spontaneous pneumothorax is a safe, low-cost, simple and reliable procedure. |
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| Keywords: | Biportal video-assisted thoracic surgery Primary spontaneous pneumothorax Ligation Hospital costs |
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