CAJ | 학술논문

1999年6月至2000年5月用电视胸腔镜手术（VATS）治疗胸部疾病36例，其中包括自发性气胸、肺大疱切除术20例；凝固性血胸清除、纤维膜剥脱术4例；纵隔肿瘤切除术3例；肺叶切除术2例；肺楔形切除术3例；胸膜间皮瘤切除术1例；广泛性恶性胸膜间皮瘤活检术1例；肺癌胸腔镜探查后中转开胸术2例。治疗效果满意，无手术死亡和并发症发生。纤维支气管镜指导下的双腔气管插管技术和肺功能差者单肺通气时采用CPAP法预防、纠正低氧血症是VATS手术成功的前提和条件。VATS具有创伤小、痛苦轻、恢复快和对美容影响小的优点。自发性气胸、肺大疱切除可列为首选治疗术式。VATS辅助胸壁小切口是较理想的微创手术方式。目前VATS临床应用有局限性，不能代替常规开胸手术，对手术操作难度大的病变或较大的肿瘤仍选择常规开胸手术为宜。
1999년6월지2000년5월용전시흉강경수술（VATS）치료흉부질병36례，기중포괄자발성기흉、폐대포절제술20례；응고성혈흉청제、섬유막박탈술4례；종격종류절제술3례；폐협절제술2례；폐설형절제술3례；흉막간피류절제술1례；엄범성악성흉막간피류활검술1례；폐암흉강경탐사후중전개흉술2례。치료효과만의，무수술사망화병발증발생。섬유지기관경지도하적쌍강기관삽관기술화폐공능차자단폐통기시채용CPAP법예방、규정저양혈증시VATS수술성공적전제화조건。VATS구유창상소、통고경、회복쾌화대미용영향소적우점。자발성기흉、폐대포절제가렬위수선치료술식。VATS보조흉벽소절구시교이상적미창수술방식。목전VATS림상응용유국한성，불능대체상규개흉수술，대수술조작난도대적병변혹교대적종류잉선택상규개흉수술위의。
From June 1999 to May 2000，36 patients successfully underwent video-assisted thoracoscopic surgery (VATS). The operation included lobectomy of lung，excision of mediastinal tumor and so on. The results were satisfactory without operative mortality and postoperative complications. It was found that double cavity intubation under a fibre bronchoscope and CPAP was the precondition for preventing and correcting hypoxia. VATS is a safe，effective and less traumatic procedure in the treatment of some thoracic diseases. It can be used as the first choice for spontaneous pneumothorax and bullae of lung. At the same time，it was considered that VATS can not replace thoracotomy at present.