期刊文献+

单操作孔胸腔镜肺叶切除术治疗肺良性疾病 被引量:11

Single Utility Port Video-assisted Thoracoscopic Lobectomy for Benign Pulmonary Diseases
原文传递
导出
摘要 目的探讨单操作孔胸腔镜下肺叶切除术对治疗肺良性疾病的价值。方法 2011年1月至2014年4月,苏州大学附属第一医院心胸外科对48例肺良性疾病患者施行单操作孔胸腔镜下肺叶切除术,其中男21例、女27例,平均年龄47.4岁,行右肺上叶切除术10例,右肺中叶切除术5例,右肺下叶切除术5例,左肺上叶切除术8例,左肺下叶切除术20例。分析手术时间、术中失血量、术后胸腔引流管放置时间、术后住院时间及术后并发症。结果全组中2例因血管鞘周围淋巴结包绕分离肺动脉分支出血中转开胸;手术时间(147.2±50.4)min,术中失血量(160.2±25.3)ml,术后胸腔引流管放置时间(4.8±2.8)d,术后住院时间(7.4±1.9)d。无围手术期死亡及严重并发症发生,术后肺持续漏气2例,肺部感染2例,均经保守治疗后痊愈。术后病理诊断:支气管扩张症17例,炎性假瘤11例,结核9例,真菌感染4例,肺隔离症3例,肺囊肿2例,肺脓肿1例,错构瘤1例。48例经门诊或电话随访,平均随访6个月,无严重并发症发生。结论单操作孔胸腔镜下肺叶切除术治疗肺良性疾病是安全可行的。 Objective To evaluate the safety and efficacy of single utility port video-assisted thoracoscopic lobec- tomy in the treatment of benign pulmonary diseases. Methods From January 2011 to April 2014, 48 patients with benign pulmonary diseases underwent single utility port video-assisted thoracoscopic lobectomy in the First Affiliated Hospital of Soochow University. The patients included 21 males and 27 females, with their mean age of 47.4 years. There were 5 patients received right upper lobectomy, right middle lobectomy in 5 patients, right lower lobectomy in 5 patients, left upper lobectomy in 8 patients, and left lower lobectomy in 20 patients. The clinical outcomes induded operation time, intraoperative blood loss, chest drainage duration, postoperative hospital stay and postoperative complications. Results There were 2 patients conversion to open surgery. The average operation time was 147.2±50.4 min, intraopera- tire blood loss was 160.2±25.3 ml, postoperative chest drainage duration was 4.8±2.8 d, postoperative hospital stay was 7.4±1.9 d. There was no hospital death or serious postoperative complications. Postoperative pathological diagnosis showed bronchiectasis in 17 patients, inflammatory pseudotumor in 11 patients, tuberculosis in 9 patients, aspergillosis in 4 patients, pulmonary sequestration in 3 patients, bronchogenic cyst in 2 patients, pulmonary abscess in 1 patient, and hamartoma in 1 patient. No long-term complications were noticed in 48 patients during a mean follow-up of 6 months. Conclusion Single utility port video-assisted thoracoscopic lobectomy is safe and feasible in the treatment of benign pulmonary diseases.
出处 《中国胸心血管外科临床杂志》 CAS CSCD 2015年第6期569-571,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词 单操作孔 电视胸腔镜 肺叶切除术 肺良性疾病 Single utility port Video-assisted thoracoscopic surgery Lobectomy Benign pulmonary disease
  • 相关文献

参考文献19

二级参考文献77

共引文献294

同被引文献73

  • 1Ahmad Z, Zubair 1. Fibrous dysp|asia of rib presenting as a cystic mass in the lung [J]. Oxf Med Case Reports, 2015, 2015(2): 196-199.
  • 2Rehemutula A, Zhang LI, Yu C, et al. Thoracoscopy-assisted first rib resection for the treatment of thoracic outlet syndrome caused by fibrous dysplasia: a report of two cases [J]. Exp Ther Med, 2015, 9 (6) : 2241-2244.
  • 3Jinzhong Li, Hua Li, Xiaoyong Liu, et al. Surgical treatment of polyostotic craniomaxillofacialfibrous dysplasia in adult : a case report andreview of the literature [J]. Int J Clin Exp Med, 2015, 8 (9): 16756-16764.
  • 4Vaishya R, Agarwal AK, Gupta N, et al. Fibrocartilaginous dysplasia of the bone: a rate, variant of fibrous dysplasia [ J ]. Cureus, 2016, 8 ( 1 ) : 448.
  • 5DiCaprio MR, Enneking WF. Fibrous dysp|asia, pathophysiology, evaluation, and treatment [ J ]. J Bone Joint Surg Am, 2005, 87 (8): 1848-1864.
  • 6Salati M, Brunelli A, Rocco G. Uniportal video-assisted thoracicsurgery for diagnosis and treatment of intrathoracic conditions [J]. Thorac Surg Clin, 2008, 18 (3) : 305-310.
  • 7刘伦旭,车国卫,王允,寇瑛琍,伍伫,蒲强,余南彬,蒲江涛.电视胸腔镜手术治疗肺良性疾病128例[J].中国胸心血管外科临床杂志,2008,15(1):29-31. 被引量:69
  • 8钱越,王正平,鲁红.产前诊断胎儿肺隔离症[J].中国妇幼保健,2008,23(32):4640-4642. 被引量:6
  • 9王巍炜,李高峰,陈楠,王前.培美曲塞联合顺铂用于非小细胞肺癌术前新辅助化疗的效果和耐受性[J].肿瘤基础与临床,2008,21(6):474-476. 被引量:1
  • 10初向阳,薛志强,张连斌,侯晓斌,马克峰.单操作孔胸腔镜肺叶切除术的初步报道[J].中国肺癌杂志,2010,13(1):19-21. 被引量:116

引证文献11

二级引证文献40

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部