电视胸腔镜辅助颈部低领式切口切除前上纵隔肿瘤

Video -assisted neck transverse incision for the treatment of patients with anterior superior mediastinal tumors

目的探讨电视胸腔镜辅助颈部低领式切口切除前上纵隔肿瘤的手术方式和应用价值。方法自1995年3月至2005年3月．48例前上纵隔肿瘤经电视胸腔镜辅助颈部低领式切口手术切除术。坠入性甲状腺肿瘤21例（恶性2例、良性19例）．胸腺瘤18例．脂肪瘤4例．淋巴囊肿3例，皮样囊肿1例，心包囊肿1例。结栗手术均顺利完成，全组无手术死亡和严重并发症，手术平均时间为（69±11）min，术中平均失血量（85±15）ml，平均术后住院1．5～8d：结论电视胸腔镜辅助颈部低领式切口切除前上纵隔肿瘤，可达到传统经胸手术效果，手术显露充分，操作确切可靠，创伤小、恢复快，有重要临床应用价值.

Objective To evaluate the clinical significance of surgical treatment for patients with anterior superior mediastinal tumors using thoracoscopy combined with neck transverse incision. Methods From march 1995 to march 2005 video - assisted neck transverse incision surgical operations were performed for 48 patients with anterior superior mediastinal tumors including 21 substernal soiters. 2 of those malignant, 18 thymomas,4 lipomas,3 cystic lymphangiomas, 1 dermoid cyst and 1 pericardium cyst. Results 48 patients were underwent successfully operated, and recovered smoothly without any severe complication or death. The mean operating time was 69 ± 11 minutes, the mean operating blood Jose was 85 ± 15 millilitres, the mean duration postoperative hospital stay was 8 -1.5 days. Conclusion Video - assisted neck transverse incision for the treatment of patients with anterior superior mediastinal tumors can obtain the same resection outcome as the routine open thoraeotomy and has many advantages such as satisfaetory, exposure, exact operation, minimal injury, quick recovery. It is of wide uses.