电视胸腔镜手术治疗胸腺疾病

Video assisted thoracic operation in patients with thymic disease

目的：探讨电视胸腔镜手术治疗胸腺疾病的手术方法和疗效。方法：自1998年4月～2005年10月应用胸腔镜手术治疗胸腺瘤和胸腺伴随综合征（重症肌无力或单纯红细胞再生障碍性贫血）16例。结果：所有手术均在胸腔镜下完成，无中转开胸者。手术时间平均为132min，术中平均出血量50mL，术后平均放置胸管时间48h，平均住院时间6d，平均随诊3．2年，无肿瘤复发。结论：胸腔镜治疗1期胸腺瘤和重症肌无力具有创伤小、恢复快等显著优势，短期随诊疗效满意。

Objective： To explore the efficacy and operational methods on video assisted thoracic operation in patients with thymic diseases. Methods： Sixteen patients＇ data with thymomas or/and thymus paraneoplastic syndromes, including myasthenia gravis（MG） or pure red cell aplasia, treated with Video assisted thoracic operation were reviewed in our hospital from April 1998 to October 2005. Results： All 16 operations were processed under thoracoscope and none was transferred to open chest surgery during all procedures. Mean processing time was 132 minutes. Mean blood loss was 50 mL and mean insertion time of chest tubes was 48 hours. Average stay was 6 days. No tumor recurrence occurred during 3.2 years follow-up. Conclusion： Video assisted thymus thymectomy for grade I thymoma and MG is superior with less injury and quicker recovery. The short-term result of follow-up is consent.