全胸腔镜下手术治疗肺隔离症的疗效分析

目的:探讨全胸腔镜下手术治疗肺隔离症的安全性与可靠性。方法:回顾性分析19例全胸腔镜下手术治疗肺隔离症患者手术时间、术中出血量、术后胸管引流量、拔管时间、住院时间，术后并发症等情况，分析全胸腔镜治疗肺隔离症的治疗效果。结果:19例肺隔离症患者均在全胸腔镜下行肺叶切除术，手术时间为(123.9±10.2)min，术中出血量为(55.3±6.9)mL，术后胸管引流量为(565.8±15.8)mL，拔管时间为(3.9±0.7)d，住院时间为(8.8±2.6)d，19例患者无一例中转开胸，术后均无严重并发症。结论:全胸腔镜下手术治疗肺隔离症安全可靠，并且具有切口小，恢复快，切口愈合美观，住院时间短等优点，值得推广。

Curative effect of complete video-assisted thoracic surgery for pulmonary sequestration

Objective:To understand the safety and reliability of completely complete video-assisted thoracic surgery（VATS） for the treatment of pulmonary sequestration. Methods: Nineteen cases with pulmonary sequestration were retrospectively analyzed, and all subjects underwent the completely VATS . Data of the operating time, the blood loss, the postoperative chest tube drainage, the time of chest tube maintained and the length of hospital stay time were collected. The treatment effect of completely VATS on pulmonary sequestration was analyzed. Results: Nineteen patients with pulmonary sequestration received complete VATS, the operating time was (123.9±10.2)min, the blood loss was (55.3±6.9)mL, the postoperative chest tube drainage was (565.8±15.8)mL, the time of chest tube maintained was (3.9 ±0.7)d, and the hospital stay time was (8.8 ±2.6)d. Nineteen patients had no transit thoracotomy or severe postoperative complications. Conclusion:Complete VATS for the treatment of pulmonary sequestration may be safe and reliable, with smaller incision, quicker recovery and wound healing, and shorter hospital stay, etc.