电视胸腔镜手术78例体会

Video-assisted thoracic surgery in 78 cases

目的 :总结电视胸腔镜手术的经验教训。方法 :对电视胸腔镜手术 78例进行回顾性临床分析。结果 :电视胸腔镜手术 78例中 ,肺部疾病 5 1例 ,食管良性病 18例 ,纵隔肿瘤 4例 ,其他 5例。电视胸腔镜下完成手术 75例 ,中转开胸 3例 ,手术成功率 96%。手术时间 10～ 12 0min ,手术后并发症发生率 6%。术后住院时间 3～ 10d ,平均 8d。结论 :电视胸腔镜手术是胸外科的微创手术 ,在胸部一些疾病的手术中 ,充分体现了创伤小、痛苦小、恢复快的优越性。

Objective To summarize the experience and lessons of video-assisted thoracic surgery (VATS) performed in our hospital. Methods Seventy-eight cases receiving VATS were retrospectively analyzed. Results Of these 78 cases, there were 51 cases of lung diseases, 18 cases of benign esophageal tumors, 4 cases of mediastinal tumors and 5 cases of other kinds of diseases. VATS was successfully completed in 75 cases with the success rate of 96%. The operations lasted from 10 to 120 minutes. The rate of postoperative complications was 6%. All patients were discharged from hospital 3 to 10 days after operation (average of 8 days). Conclusions VATS could be used to treat some diseases in chest with small trauma and pain. The patients could recover quickly after operation.