腹腔镜辅助小切口肺大疱切除术26例疗效观察

目的探讨腹腔镜辅助腋下小切口切除肺大疱治疗自发性气胸(SP)的临床运用价值。方法回顾性分析该院2009年8月至2011年7月男性SP患者26例的临床资料。结果 26例患者全部治愈出院,无1例手术死亡。术中出血量30～100mL,平均60mL。术中、术后均未输血,手术时间30～60min,平均43min。术后25例48h内拔除胸腔闭式引流管,1例慢性阻塞性肺疾病(COPD)患者,术后少量漏气,拔管延长至96h。结论腹腔镜辅助腋下小切口肺大疱切除术创伤小、安全、手术时间短、恢复快、疗效满意,值得在基层医院推广应用。

Effective observation on laparoscopic-assisted small incision resection of lung bullae in 26 cases

Objective To investigate the clinical application value of laparoscopic-assisted axillary small incision resection of lung bullae for treating spontaneous pneumothorax(SP).Methods The clinical data of 26 male patients with SP in our hospital from August 2009 to July 2011 were retrospectively analyzed.Results 26 cases were cured and discharged from hospital without operative death.Intraoperative blood loss was 30-100 mL(average 60 mL) without intraoperative and postoperative blood transfusion.The operative time was 30-60 min(average 43 min).The thoracic closed drainage tube was extubated within postoperative 48 h in 25 cases.Extubation was postponed to postoperative 96 h in 1 case of chronic obstructive pulmonary disease(COPD) due to a small amount of air leakage.Conclusion Laparoscopic-assisted axillary incision resection of lung bullae has less injury,safety,short operative time,quick recovery and satisfactory effects,which is worthy of being popularized in the primary hospitals.