胸腔镜外科的经验与体会

目的 探讨电视胸镜手术（VATS）治疗胸部疾病的可行性。方法 实施 VATS手术223例，其中216例经胸腔镜完成手术，7例术中转传统开胸术。手术治疗的疾病包括自发性气胸、手汗症、肺、胸膜、纵隔疾病及胸外伤等10余种。结果 手术时间平均51分钟（61－147分钟），平均住院日7．6天（1－17天），发生胸部并发症10例。随访3－80个月，自发性气例2例、手汗症和胸部部代偿性汗增多5例。结论 VATS治疗某些胸部疾病就操作技术而言是可行的，它比传统的开胸手术具有更多的优点。

Experience with video-assisted thoracoscopic surgery (VATS)

Objective To discuss the feasibility of VATS in the treatment of thoracic disease. Methods 223 patients ( 141 males, 82 females, mean age 30.4 years) underwent VATS with 7 transferred to thoracotomy during VATS process. The diseases included spontaneous pneumothorax, sweat - hand disease, thoracic trauma, and other diseases of lung, pleura, mediastinum. Results Mean operation time was 51 minutes, mean length of hospitalization was 7.6 days, and 10 cases had thoracic complications. During 3 ～ 80 months follow - up, there were 2 cases of spontaneous pneumothorax, 5 cases with sweat hand and compensively sweating on back and chest. Conclusion To some thoracic diseases, VATS was a feasible approach and better than traditional thoracotomy.