3D胸腔镜系统在单孔胸腔镜手术中的初步应用

Application of three-dimensional thoracoscope system in uniportal video-assisted thoracoscopic surgery

目的初步探讨3D胸腔镜系统在单孔胸腔镜手术中的初步应用效果。方法选择北京大学第一医院胸外科2015年11月-2015年12月应用3D胸腔镜系统行单孔胸腔镜手术的患者,共7例。其中纵隔肿物2例,肺楔形切除2例,肺癌根治手术3例。结果手术过程顺利,术后恢复顺利,无重大术后并发症,无围手术期死亡病例,均顺利出院。术后及随访3个月期间均无出血、肺不张、胸腔包裹性积液、支气管胸膜瘘和乳糜胸等并发症,恶性肿瘤患者影像学复查无复发、转移情况。结论 3D胸腔镜系统可以在单孔胸腔镜手术中安全地应用。它可以提供更加清晰的视野和更好的景深感,增加安全性。

Objective To evaluate the feasibility of 3D thoracoscopic system in uniportal video-assisted thoracoscopic surgery(uniportal VATS)for the treatment of thoracic diseases.Methods 7 cases of thoracic diseases were accomplished with 3D thoracoscope from Nov 2015 to Dec 2015,including 3 cases of lobectomy,2 cases of wedge resection of pulmonary tumor,2 cases of mediastinal mass.Results All the operations were completed successfully,without conversion to open surgery.All the patient recovery successfully.The data of operative time,bleeding volume,postoperative chest tube drainage and hospital time and postoperative complications were counted.No complications and tumor recurrence or metastasis were observed during the followed 3 months.Conclusion 3D thoracoscopic system can be used in uniportal video-assisted thoracoscopic surgery(uniportal VATS)safely and provide high-definition and better sense of depth which facilitate the operation more precise and safer.