电视胸腔镜在胸外科急症剖胸探查术中的应用

目的探讨电视胸腔镜在胸外科急症剖胸探查术中的应用。方法回顾分析2001年3月～2007年7月52例急诊电视胸腔镜手术的临床资料。其中:胸外伤探查42例,自发性血气胸10例。结果全组无死亡及严重并发症。其中3例中转开胸,4例采用辅助小切口手术。手术时间35～140分钟,平均65分钟,胸管均在48小时内拔除。结论电视胸腔镜手术治疗部分急性胸部创伤和自发性血气胸,微创、恢复快、并发症少,如能严格掌握手术适应症,电视胸腔镜可以在临床安全、合理的应用。

Clinical application of video-assisted thoracoscopic surgery in Thoracic surgery

Objective To study the clinical application of video-assisted thoracoscopic surgery(VATS). Methods Clinical records of 52 cases of VATS from March 2001 to July 2007 were retrosp-ectively analyzed. There were 42 cases of surgical exploration for chest trauma, 10 cases of operat for spontaneous haemopneumothorax. Results There was no mortality and serious morbidity associated with procedures. A conversion to open surgery was required in 3 cases and a supplementary mini incision was needed in 4 cases. Operative time was from 35 to 140 minutes, mene range 65 minutes. The intrathoracic drain was all removed within 48 postoperative hours. Conclusions Video-assisted thoracoscopic surgery(VATS) is a minimally invasive, speedy recovery, minimally complication method in the treatment of thoracic trauma and Spontaneous haemopneumothorax. VATS is a safe and suitable therapeutic solution for properly selected patients.