CAJ | 학술논문

目的探讨应用完全胸腔镜技术行胸顶部良性神经源性肿瘤切除术的可行性、安全性、技术要点及临床疗效. 方法 2004年1月至2009年6月,胸顶部良性神经源性肿瘤患者11例,其中完全胸腔镜切除5例,传统开胸切除6例,通过对临床症状、肿瘤类型、并发症、手术时间、出血量、术后引流管留置时间、术后住院时间等资料进行分析,比较完全胸腔镜和传统开胸行胸顶部良性神经源性肿瘤切除术的优缺点.结果胸腔镜组和开胸组术后各有1例轻微的一过性Horner综合征,均自行缓解消失.胸腔镜组手术时间、术中出血量、引流管留置时间、术后住院时间均优于开胸组. 结论对于胸顶部良性神经源性肿瘤,完全胸腔镜切除与传统开胸切除同样安全有效,完全胸腔镜手术创伤更小,恢复较快.
목적 탐토응용완전흉강경기술행흉정부량성신경원성종류절제술적가행성、안전성、기술요점급림상료효. 방법 2004년1월지2009년6월,흉정부량성신경원성종류환자11례,기중완전흉강경절제5례,전통개흉절제6례,통과대림상증상、종류류형、병발증、수술시간、출혈량、술후인류관류치시간、술후주원시간등자료진행분석,비교완전흉강경화전통개흉행흉정부량성신경원성종류절제술적우결점.결과흉강경조화개흉조술후각유1례경미적일과성Horner종합정,균자행완해소실.흉강경조수술시간、술중출혈량、인류관류치시간、술후주원시간균우우개흉조. 결론 대우흉정부량성신경원성종류,완전흉강경절제여전통개흉절제동양안전유효,완전흉강경수술창상경소,회복교쾌.
Objective To discuss the feasibility,safety,technical points and clinical effects of completely thoracoscopic resection of benign neurogenic tumors on apical chest.Methods From January 2004 to June 2009,11 patients underwent surgical resection of benign neurogenic tumours on apical chest.A complete thoracoscopy was used in 5 cases,and the remaining 6 cases received traditional open thoracotomy.By analysis on the clinical symptoms,tumor types,complications,operative time,blood loss and drainage time after operation,the advantages and disadvantages of complete thoracoscopy were compared to traditional open thoracotomy for resection of benign neurogenic tumors on apical chest.Results There was one patient in each group that suffered from light transient Horner's syndrome,who recovered spontaneously.The group of complete thoracoscopy was superior to the group of traditional open thoracotomy in operative time,blood loss during the operation,drainage time and postoperative hospital stay.Conclusion For benign neurogenic tumors on apical chest,a resection with complete thoracoscopy is as safe and effective as the traditional open thoracotomy,and the former is characterized by less operative trauma and quicker recovery.