经剑突下胸腔镜技术在前纵隔肿瘤外科治疗中的应用

目的:探讨经剑突下胸腔镜技术在前纵隔肿瘤外科治疗中的临床应用价值.方法:回顾性分析2015年11月至2016年10月我院胸外科采用经剑突下胸腔镜手术治疗的13例前纵隔肿瘤患者临床资料,其中男性7例、女性6例.平均年龄49.3岁(31~61岁).病理类型为单纯胸腺瘤3例,胸腺瘤合并重症肌无力4例,支气管囊肿2例,胸腺囊肿3例,海绵状血管瘤1例.结果:所有患者均采用经剑突下胸腔镜手术完成了前纵隔肿瘤的切除,术中操作时间107 min(75~150 min),术中出血量60 ml(30~180 ml),术中均无严重并发症发生,术后胸腔引流管留置时间1.9天(0~5天),术后住院时间4.7天(2~6天),13例患者均术后随访,未见明显手术相关并发症.结论:经剑突下胸腔镜手术治疗前纵隔肿瘤安全可行.

Clinical application of subxyphoid approach video-assisted thoracoscopic surgery for treatment of anterior mediastinal tumors

Objective:To evaluate the therapeutic methods and value of subxyphoid approach video-assisted thoracoscopic surgery for treatment of anterior mediastinal tumors. Methods:The clinical data of 13 cases,with anterior mediastinal tumors underwent subxyphoid approach video-assisted thoracoscopic surgery from November 2015 to October 2016 were analyzed retrospectively.Among the thirteen cases,threr were 1 case of male and 6 cases of female,and the average age of these cases was 49.3 years old (31~61 years old).Pathological examination showed thymoma in 3 cases,thymoma with myasthenia gravis in 4 cases,bronchogenic cyst in 2 cases,thymus cyst in 3 cases,cavernous hemangioma in 1 case.Results:The complete resections were successfully performed in all 13 cases with no complication and death in the study.Average operation time was 107 min (75~150 min),and average bleeding was 60 ml (30~180 ml).Average thoracic cavity drainage time was 1.9 days (0~5 days) and average hospitalization time was 4.7 days (2~6 days). Thirteen cases were followed up for 1 month to 1 year and there were no complications.Conclusion:Subxyphoid approach VATS is safe and feasible in treatment of anterior mediastinal tumors.