CAJ | 학술논문

目的探讨电视胸腔镜手术在快速康复外科中的作用.方法对 308 例患者行电视胸腔镜手术, 选取手术时间、拔管时间、住院时间、手术切口长度、出血量等与 280 例开胸手术临床资料比较研究.结果 308 例患者中 34 例胸腔镜辅助小切口,4 例中转开胸, 共 10 例出现围手术期并发症, 无死亡病例.结论胸腔镜手术与传统开胸手术相比,具有切口微创美观、出血量明显减少、痛苦轻、恢复快、手术时间短、手术并发症少、平均住院日短等优点,为胸内疾病开辟了新的诊疗方法.此项技术微创安全,同时符合快速康复外科的最新理念.
목적 탐토전시흉강경수술재쾌속강복외과중적작용.방법 대 308 례환자행전시흉강경수술, 선취수술시간、발관시간、주원시간、수술절구장도、출혈량등여 280 례개흉수술림상자료비교연구.결과 308 례환자중 34 례흉강경보조소절구,4 례중전개흉, 공 10 례출현위수술기병발증, 무사망병례.결론 흉강경수술여전통개흉수술상비,구유절구미창미관、출혈량명현감소、통고경、회복쾌、수술시간단、수술병발증소、평균주원일단등우점,위흉내질병개벽료신적진료방법.차항기술미창안전,동시부합쾌속강복외과적최신이념.
Objective To evaluate the video-assisted thoracic surgery in fast track surgery. Methods Clinical data of 308 patients undergoing VATS From 308 patients , we select the operation time, extubation time, hospital stay, incision length, blood loss, etc. compared with the thoracic surgery.Results In 308 cases,thinty four cases assisted thoracic small incision, four cases were converted to thoracotomy, perioperative complications were 10 cases( 3.24 % ), were no deaths. Conclusions VATS compared with traditional open chest surgery , incision beautiful, reduced blood loss, less pain, faster recovery, shorter operative time, fewer complications, shorter hospital stay , opens up new treatment methods.The technology of minimally invasive and rapid recovery safety fit the latest ideas of fast track surgery.