胸腔镜单操作孔治疗自发性气胸临床分析

Application of single utility port video ‐ assisted thoracoscopic surgery for treatment of primary spontaneous pneumothorax

目的总结单操作孔行肺大疱切除术治疗自发性气胸的体会。方法对52例自发性气患者采用单操作孔胸腔镜肺大泡切除术,回顾性分析患者的临床资料。结果全组患者均顺利完成手术,手术时间21-89 min,平均35.6 min。术后胸腔闭式引流管拔除时间2-7 d,平均3 d。出血量15-100 mL,平均30 mL。术后随访6-12个月,复发2例。结论自发性气胸选用单操作孔胸腔镜肺大疱切除术,微创、安全、有效。

Objective To summarize the clinical application experience of single utility port video- assisted thoracoscopic surgey for the treatment of primary spontaneous pneumothorax. A total of 52 patients with pneumothorax was analyzed. Methods All the patients underwent firstly,an incision 1 cm in length was made at 7 intercostal on the midaxillary line as obversation hole. then a manipulation port 2 cm in length was made at 4 intercostal space on the anterior axillary line,through which the operation was conducted. Results The operation was successful in all the 52 patients without conversion to open chest surgey. The average time was 35. 6 min（ 21 - 89 min）. The average blood loss during operation was 30 ml（ 15 - 100 ml）. The chest drainage tube was removed 2 - 7d after operation. Poesoperative fellow- up for 6- 12 months in all 52 cases,found 2 cases recurrence. Conclusion Single utility port VATS is safe,feasible and minimal invasive,and can be efficient procedure for the treatment of primary spontaneous pneumothorax.