摘要
目的 探讨应用电视胸腔镜施行小儿肺切除的可行性与手术方法。 方法 本组 11例 ,男 7例 ,女 4例 ,平均年龄 8.9岁 ,其中先天性肺囊肿并发气胸 5例、肺大疱合并气胸 5例、左上肺隔离症 1例。采用单腔插管全身麻醉施行电视胸腔镜肺切除术。 结果 肺楔形切除或部分切除 6例 ,肺叶切除 5例 ,手术时间平均 10 0min ,术后留置胸管和住院时间分别为 2d和 9.2d。术后平均随访 8.4个月 ,无复发。 结论 小儿电视胸腔镜肺切除术安全可行 。
Objective To evaluate the feasibility and procedure of lung resection in children by video assisted thoracic surgery(VATS). Methods From May 1997 to December 2000, 11 children (7 boys and 4 girls) with lung diseases recieved lung resection by VATS under general anesthesia with single lumen endotracheal tube. The average age was 8.9 years (range 3 months to 15 years) and the median body weight was 24.2kg (4.5kg~38kg). There were 5 cases of simultaneous spontaneous pneumothrax with cyst and 5 cases of bulla of lung, and 1 case of sequestration of left superior lobe. The procedures included lung wedge resection in 6 children and lobectomy in 5. Results There was no mortality and morbidity after the operations. The mean operating duration was 100 minutes (55~160 minutes). The valume of blood loss was 44 (20~70) ml in average. The mean duration of chest drainge and hospitalization were respectively 2.0 days (1~4 days) and 9.2 days (6~13 days). All patients were followed up for mean 8.4 (2~24) months, they lived and developed normally. Conclusion Video assisted thoracic surgery is safe and feasible for lung resection procedure in children.
出处
《中国现代手术学杂志》
2002年第1期42-44,共3页
Chinese Journal of Modern Operative Surgery