单操作孔全胸腔镜手术治疗纵隔肿瘤的临床分析

The clinical application of single utility port video-assisted thoracoscopic surgery in treatment of mediastinal tumors

目的研究单操作孔全胸腔镜手术在治疗纵隔肿瘤的临床治疗效果。方法回顾性分析108例我院2012年8月至2016年3月期间收治的纵隔肿瘤患者作为研究对象,其中48例患者采用单操作孔手术为单孔组,另60例患者采用双操作孔手术为双孔组。比较两组患者手术结果及并发症情况。结果两组患者手术时间、置管时间以及住院时间上无差异,P>0.05;而单孔组胸腔引流量、出血量以及疼痛程度均优于双孔组,P<0.05。单孔组、双孔组并发症发生率分别为6.25%、13.33%,两组无明显差异,P>0.05。结论单操作孔全胸腔镜手术治疗纵隔肿瘤安全可行。

Objective To explore the clinical treatment effect of single utility port video-assistedthoracoscopic surgery for the mediastinal tumors. Methods Between August 2012 and March 2016,atotal of 108 patients with mediastinal tumors who underwent VATS in our hospital were retrospectivereviewed. The 48 patients who underwent single utility port VATS were divided into single port group,and the other 60 patients who underwent double utility port VATS were divided into double port group.The surgical results and complications of two groups were compared. Results There was no significantdifference in the mean operative time,the average chest tube drainage time and average hospitalizationexpenses between the two groups(P>0.05). The thoracic drainage,the mean intraoperative blood lossand the degree of pain in the single port group were obvious less than that in the double port group. Therewas no significant difference in the postoperative complication rate between the two groups(P>0.05),which was 6.25% in the single port group and 13.33% in the double port group respectively. Conclusion Single utility port VATS is safe and effective in the treatment of mediastinal tumors.