摘要
目的 :应用腋下微创切口治疗常见的胸部肿瘤 ,在保证与经典胸部切口治疗效果相同的情况下 ,减小手术创伤 ,达到微创的目的。方法 :34例患者均采用患侧腋下小切口 ,保留背阔肌 ,沿肌纤维方向分离前锯肌 ,不切断肋骨 ,沿肋骨上缘切开肋间肌进胸完成常见胸部肿瘤的手术治疗。结果 :全组均顺利地完成了手术治疗 ,手术损伤小、术后恢复快、患者痛苦小、遗留疤痕较小 ,基本上不影响肌肉和关节功能 ,有利于患者术后早期活动及生活自理 ,并明显减轻了患者的心理负担。术后并发症的情况与经典的胸部切口基本相同。结论 :大部分胸部肿瘤手术可以应用腋下微创切口来完成 ,不仅手术损伤较小 ,术后恢复快 ,而且疗效也与经典胸部切口相当 ,符合微创手术的原则 。
Objective To apply minimal invasive incision below axilla to the treatment of chest tumor without declining the effects compared with the traditional thoracotomy.Methods All the thoracic operations of 34 patients were performed with small incision below axilla with preserving latissimus dorsi and incising intercostal above the next rib and along serratus anterior muscle.Results The total operations were performed safely with excellent operative outcomes including minimal injury,short recovery time and small scar,with out confining activity of muscle and joint.The operation is favourable to early ambulation and self care and lessening the strain from operation.The complications were basically the same as that of traditional incision.Conclusion The minimal invasive incision below axilla may be served as a roufine surgical incision in a portion of chest tumor with similar effectis equal complications to traditional incision.
出处
《肿瘤防治杂志》
2002年第6期616-617,共2页
China Journal of Cancer Prevention and Treatment
关键词
腋下
微创小切口
治疗
胸部肿瘤
临床研究
thoracic neoplasms/surgery
choracic operation/nethods
axilla/surgery