单操作孔胸腔镜手术治疗自发性气胸42例临床分析

Single-working pore treat spontaneous pneumothorax in Thoracoscopic surgery

目的探讨单操作孔胸腔镜手术治疗自发性气胸的临床疗效。方法 2008年9月至2009年12月采用单操作孔胸腔镜手术治疗自发性气胸42例。操作孔位于腋前线第4肋间,切口长1.5～2cm,观察孔位于腋中线第6～7肋间,切口长1.0～1.5cm。结果无胸部中转辅助小切口,手术时间30～120min,平均45min;术中出血10～200mL,平均50mL;术后住院4～6d,平均4.5d。结论单操作孔胸腔镜手术治疗自发性气胸可进一步减小创伤,疗效可。

Objective To explore the Clinical feasibility of Single-working pore in VATS for treatment spontaneous pneumothorax. Methods From September 2008 to December 2009, 42 patients with spontaneous pneumothorax performed operation in VATS. The incision for operation was 1.5--2 cm at lateral position of the fourth rib of anterior axillary line, while the incision for observation located at lateral position of the sixth or seventh rib of middle axillary line. Results None of patients need converse to transit-assisted small incision in chest, operative time was 30--120 min. an average of 45 min. lntraoperative blood loss 10--200 mI., an average of 50 mL. 4-- 6 d for hospitalization, an average of 4.5 d. Conclusion In accordance with the way of Single-working pore in VATS for treatment spontaneous pneumothorax, We minimize the trauma and ensure safety of operation.