腋下微创小切口治疗58例胸部肿瘤的临床应用

Clinical Study of Minimally Invasive Incision Below Axilla in 58 Patients with Chest Tumor

目的探讨腋下微创小切口术治疗胸部肿瘤的手术方法以及应用价值。方法利用腋下微创小切口术治疗58例胸部肿瘤患者,其中肺癌32例,肺部良性肿瘤11例,食管癌9例,纵隔肿瘤6例。结果所有患者手术无死亡病例。平均手术时间为3.5 h;清除淋巴结6.5枚/例;开胸时间平均6.8 min;关胸平均17.4 min;胸腔引流管平均放置时间3.75 d;术后平均住院时间为8.32 d。术后疼痛分级:1级56例,2级1例,3级1例。3例患者出现术后并发症,经治疗后全部治愈。结论腋下微创小切口术治疗胸部肿瘤损伤小,术后恢复快,疼痛程度轻,可作为临床治疗胸部肿瘤的方法推广使用。

Objective To investigate technique and application value of minimally invasive incision below the axilla in chest tumor patients.Methods Minimally invasive incisions below the axilla were performed for 58 patients with chest tumor including 32 lung cancers,11 benign cancers,9 esophageal cancers and 6 mediastinal cancers.Results There were no fatalities during surgical procedures.The average time of operation was 3.5 hours.The number of lymph nodes was 6.5.The average time of opening thorax was 6.8 min.The average time of closing thorax was 17.4 min.The mean duration of postoperative chest tube draining was 3.75 d.The hospital stay was 8.32 d.Pain level of postoperative： stage 1 for 56 cases,stage 2 for 1 cases,stage 3 for 1 case.Three patients have complication of postoperative.Conclusion Minimally invasive incision below the axilla in treatment of chest tumor has minimal injury,short recovery time and little pain.It should be widely used.