322例胸部疾病胸腔镜手术的回顾性分析

目的 探讨我国胸部疾病的电视胸腔镜手术（ＶＡＴＳ）方法，治疗原则和发展方向。方法 １９９２年１０月至１９９８年１０月共为３２２例胸部疾病患者施行了ＶＡＴＳ，其中自发性气胸１１３例，肺癌８３例，肺良性肿瘤５２例，胸膜病变１９例，胸外伤１０例，肺气肿２例，食管疾病１８例，纵隔肿瘤１６例，其它胸部疾病９例。

Video-assisted thoracic surgery in the management of chest diseases]

Objective To summarize short term results of video assisted thoracic surgery for 322 patients with chest diseases in Beijing from October 1992 to October 1998 and discuss the role of thoracoscopy in the diagnosis and therapy of thoracic diseases in China Methods Three hundred and twenty two patients (273 men and 85 women) underwent video assisted thoracic surgery for spontaneous pneumothorax (113), lung cancer (83), solitary pulmonary nodules (52), pleural diseases (19), mediastinal tumors (11), myasthenia gravis (5), thoracic trauma (10), esophageal cancer (7), benign esophageal diseases (11), and other indications (11) Data on thoracoscopic procedures, morbidity and mortality, conversion to open procedures were collected for all patients Results Three hundred and thirty nine thoracoscopic procedures were performed in 322 patients These procedures included blebectomy and pleurodesis (121), wedge resections of pulmonary nodules (57), lobectomy and pneumonectomy (48), pleural biopsies and pleurodesis (52), excision of mediastinal mass (11), thymectomy (5), esophagectomy (6), and other procedures (39) Conversion to thoracotomy was required in 9 patients (0 28%) The overall incidence of postoperative complications was 7 5% (24/322) Two patients died postoperatively Conclusions Video assisted thoracic surgery is a safe and effective technique in selected patients with chest diseases The results in this group were similar to those reported previously in North American