电视胸腔镜手术16例报告

VIDEO-ADDISTED THORACIC SURGERY : REPORT OF 16 CASES

共完成电视胸腔镜手术１６例，包括电刀切除肺内肿块２例，纵隔囊肿摘除２例，胸腔内取异物２例，肺大泡切除和胸膜粘连术２例，纵隔淋巴结活检２例，胸膜活检和胸膜粘连术１例，凝固性血胸血块清除１例，肺楔形切除１例，左下和右下肺叶切除各１例，恶性胸膜间皮瘤切除１例。本组无严重并发症，仅１例恶性胸膜间皮瘤术中剥离肿瘤时出血，立即改为开胸手术。１６例ＶＡＴＳ均痊愈出院。对ＶＡＴＳ的适应证、禁忌证、手术切口、术野暴露和外科手术技术进行了讨论。

Video-assisted thoracic su rgery (VATS)is a new surgical technague, which enables surgeons accomplish the intrathoracic operation without the conventional long thoracic incision.16 cases were done by VATS. They were : remoral of mass from the Lung in 2, removal of mediastinal cyst in 2, removal of intrathoracic foreign body in 2 : resection of pulmonary bullae and pleurodesis in 2, biopsy of mediastinal lymph nodes in 2, pleural biopsy and pleurodesis in 1, removal of blood clots after hemotho- rax in 1, wedge resection of the lung in 1,lobectomy in 2, and resection of malignant mesothelioma in 1. There was no severe complication, In one patient with malignant mesothelioma open thoracotomy was resorted to control bleeding, All 1 6 patients recovered. The indications, contraindications, incision, opera- tive exposure and technique of VATS were discussed.