电视胸腔镜辅助下87例肺切除术临床分析

目的 总结电视胸腔镜(video assisted thoracoscopic surgery, VATS)辅助下肺切除术治疗肺部疾病的经验.方法 回顾分析本科1993年4月至2006年9月在VATS辅助下行肺切除术治疗肺部疾病87例.其中原发性支气管肺癌38例,均在辅助小切口下行肺叶切除术;炎性假瘤17例、结核瘤21例、错构瘤3例和转移性肺癌8例,均行肺部病变局部切除术.结果 本组无手术死亡,2例术后血胸再次行VATS下止血,4例发生肺部感染,其余均恢复顺利.结论 电视胸腔镜行肺切除手术,具有创伤小,恢复快和安全可靠的优点,但要注意掌握手术指征.

Lobectomy or local resection by video-assisted thoracoscopic surgery

Objective To introduce the experience in lobectomy with video assisted thoracicscopic surgery. Methods From April 1993 to September 2006 in our hospital, 38 cases of primary lung cancer confirmed by pathological examinations underwent lobectomy; 17 cases of inflammatory pseudotumor, 21 cases of tuberculoma, 3 cases of hamartoma and 8 cases of metastatic lung cancer underwent local resection. Results No mortality was due to the procedure. Reoperation to stanch bleeding was performed in 2 cases and pulmonary infection in 2 cases. All patients suffered from complications mentioned above all fully recovered and their operation time, postoperative drainage days and hospital day were shortened. Conclusion Lobectomy or local resection by video assisted thoracoscopic surgery has identical effect with routine thoracotomy. It is reliable and of the advantages such as less invasion, fast recovery and fewer complications, but its indications should be strictly followed.