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小儿电视胸腔镜肺切除术 被引量:1

Video-Assisted Thoracic Surgery for Lung Resection in Children
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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
关键词 肺切除术 儿童 电视胸腔镜 适应证 penumonectomy thoracoscopy child
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参考文献6

  • 1Rescoria FJ,West RW,Gingalewski CA,et al.Efficacy of primary and secondary video-assisted thoraic surgery in children[J].J Pediatr Surg,2000,35(1):134-138.
  • 2Campos JRM,Filho LOA,Werebe EC,et al.Thoracoscopy in children and adolescents[J].Chest,1997,111(2):494-497.
  • 3Rothenberg SS.Thoracoscopic lung resection in children[J].J Pediatr Surg,2000,35(2):271-275.
  • 4王正,张铮,李标,杨超,黄小朋,张悦.小儿电视胸腔镜的临床应用[J].中华小儿外科杂志,2000,21(5):290-292. 被引量:21
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  • 6贺延儒.218例小儿肺切除[J].中华胸心血管外科杂志,1997,13(1):37-39. 被引量:3

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