VAMT肺切除术51例

目的:探讨电视胸腔镜辅助小切口(VAMT)在各式肺切除术的可行性、适应证和意义。方法:应用VAMT肺切除术治疗肺部良性病变和肺癌51例,采用常规开胸手术器械与内镜器械相结合直视操作行全肺切除、肺叶切除及病变局部切除术。结果:51例VAMT肺切除术顺利完成,平均手术时间80 min,平均住院时间9d,无死亡,术后并发症少。结论:VAMT可有选择地应用于除袖式肺叶切除术以外的多种肺切除术,适合于肺部良性病变、转移性肺癌及部分原发性肺癌病人的手术治疗,适应证广,具有创伤小、疼痛轻、恢复快、切口美观等优点,值得推广。

Clinical Analysis of 51 Cases of VAMT Pneumonectomy

Objective:On video-assisted minithoracotomy(VAMT) in various types of pulmonary resection of the feasibility,indications and clinic significance.Methods:VAMT pneumonectomy for the treatment of benign lung diseases and lung cancer 51 cases,using conventional thoracic surgical instruments and endoscopic instruments combined operation will open whole lung resection,pneumonectomy and partial resection of lesions.Results:51 cases of pneumonectomy by VAMT successfully completed,the average operation time of 80 min,the average hospitalization time 9 days,no death,less postoperative complications.Conclusion:VAMT can be selectively applied the multiple pneumonectomies except sleeve pneumonectomy,applied surgical treatment of patients with benign lesions in the lungs,metastatic lung cancer and partial patients of primary lung cancer,it has wide indications,with trauma less,less pain,recovery quicker and incision aesthetic advantages,should be promoted extensivly.