电视胸腔镜手术131例临床观察

Clinical observation on 131 cases of video assisted thoracic surgery

目的 探讨电视胸腔镜手术 (VATS)治疗常见胸部外科疾病的效果。方法 1 994年 4月至 2 0 0 0年 1 2月施行VATS手术治疗胸部疾病 1 31例 ,自发性气胸、血气胸 1 0 9例 ,肺结核瘤 1 0例 ,肺癌 5例 ,食管癌 3例 ,胸膜间皮瘤 2例 ,肺错构瘤及重症肌无力各 1例。结果 全组无术后死亡 ,自发性气胸术后漏气 >7d 4例 ,血气胸 1例并发血胸 ,经再次手术止血 ,余均恢复顺利。结论该手术具有创伤小、术后疼痛轻、并发症少、恢复快。

Objective To explore the effect of video assisted thoracic surgery (VATS) on common diseases of chest. Methods Video assisted thoracoscopic surgery was performed on 131 patients with chest diseases from April 1994 to December 2000 in which 109 cases were spontaneous pneumothorax and hemothorax, 10 pulmonary tuberculoma, 5 pulmonary carcinoma, 3 esophageal carcinoma, 2 localized benign mesothelioma, 1 pulmonary hamartoma and 1 myasthenia gravis. Results There was no operative death in all cases. Four patients with spontaneous pneumothorax complicated persistent air leak(more than 7 d) and 1 patient with hemopneumothorax formed hemothorax after the operation, which was stopped by the second VATS. The others recovered well without any postoperative complications. Conclusion VATS is characterized by safety and mild tissue injury in the operation, and less pain, fewer complications, rapid recovery and short duration of hospitalization after the operation.