CAJ | 학술논문

目的：探讨胸腔镜在肺隔离症外科治疗中的应用价值。方法对2008-03-2012-03收治的32例肺隔离症患者行胸腔镜下外科手术治疗，对肺隔离症的临床表现和诊断、胸腔镜手术治疗的临床价值和注意事项作一分析。结果32例患者病变均位于下肺叶，其中右下肺13例，左下肺19例，叶内型27例，叶外形5例；32例患者均经胸腔镜手术切除病灶，无中转开胸病例，术后无严重并发症，术后平均住院日6.1d。结论在胸腔镜下手术可为存在粘连的肺隔离症患者提供较好的手术视野，是一种微创、安全有效的治疗方法。
목적：탐토흉강경재폐격리증외과치료중적응용개치。방법대2008-03-2012-03수치적32례폐격리증환자행흉강경하외과수술치료，대폐격리증적림상표현화진단、흉강경수술치료적림상개치화주의사항작일분석。결과32례환자병변균위우하폐협，기중우하폐13례，좌하폐19례，협내형27례，협외형5례；32례환자균경흉강경수술절제병조，무중전개흉병례，술후무엄중병발증，술후평균주원일6.1d。결론재흉강경하수술가위존재점련적폐격리증환자제공교호적수술시야，시일충미창、안전유효적치료방법。
Objective The purpose of this report is to describe our experience with video- assisted thoracoscopic surgery for pulmonary sequestration. Methods We retrospectively reviewed 32 pulmonary sequestration patients who received video assisted thoracoscopic surgery between March 2008 and March 2012. Results Lesions were al located in lower lobe. 13 cases were on the right and 19 cases were on the left. 27 of them were intralobar pulmonary sequestration, and 5 of them were extralo-bar pulmonary sequestration. 32 patients al achieved successful resection. Average hospital stay was 6.1 days,There were no severe postoperative complications, no conversion to thoracotomy was needed for al the patients. Conclusion Our study indi-cate that:(1).video assisted thoracoscopic surgery provided a better visualization for intrathoracic adhesive patients, (2).VATS is a feasible and minimal invasive, it should be considered for pulmonary sequestration patients.