单操作孔全胸腔镜治疗纵隔肿瘤疗效分析(附35例报告)

Effect of Uni-port Totally Thoracoscopic Surgery for 35 Patients with Mediastinal Tumors

目的总结单操作孔全胸腔镜治疗纵隔肿瘤的疗效。方法回顾性分析2013年5月至2017年11月治疗的35例纵隔肿瘤患者的临床资料,均采用单操作孔全胸腔镜行纵隔肿瘤切除术。结果全组手术时长75~160 min,平均108.4 min,术中失血50~300 ml,平均失血150 ml,瘤体最大径为3~5 cm,术后带管时间为3~6 d,总住院时长12~31 d,平均18.8 d。35例患者均未发生术后并发症,全部康复出院。结论单操作孔胸腔镜手术治疗纵隔肿瘤具有创伤小、恢复快的优点,适宜在有适应证的患者中使用。

Objective To summarize the efficacy of uni-port totally thoracoscopic surgery for the resection of mediastinal tumors.Methods From May 2013 to November 2017,the clinical data was analyzed retrospectively in 35 mediastinal tumor patients underwent uni-port totally thoracoscopic surgery.Result None of the 35 patients had postoperative complications,and all recovered and discharged smoothly.It showed operation time of 108.4(75~160)minutes,blood loss of 150(50~300)ml,the maximum diameter of 3~5 cm,postoperative zatheterization time of 3~6 days,and the hospital stay of 18.8(12~31)days.Conclusion It has good effects of mini-trauma,mild pain,and rapid recovery of uni-port totally thoracoscopic surgery for the treatment of mediastinal tumors patients with surgical indications.