CAJ | 학술논문

目的：探讨单孔胸腔镜治疗自发性气胸的可行性。方法回顾分析2010年7月～2013年7月114例单孔胸腔镜手术治疗自发性气胸的临床资料，均采用自制可弯曲双关节腔镜专用器械行单孔胸腔镜手术。结果手术均顺利完成，无中转开胸，未增加穿刺孔，无术后大出血等并发症。手术时间（42．4±11．4） min，术后胸管留置时间（1．8±0．4） d，术后住院时间（5．4±3．4）d。术后随访1～36个月，平均20个月，其中76例＞12个月，无切口感染、出血、积液、气胸复发等并发症。结论单孔胸腔镜手术治疗自发性气胸是安全、微创、可行的。
목적：탐토단공흉강경치료자발성기흉적가행성。방법회고분석2010년7월～2013년7월114례단공흉강경수술치료자발성기흉적림상자료，균채용자제가만곡쌍관절강경전용기계행단공흉강경수술。결과수술균순리완성，무중전개흉，미증가천자공，무술후대출혈등병발증。수술시간（42．4±11．4） min，술후흉관류치시간（1．8±0．4） d，술후주원시간（5．4±3．4）d。술후수방1～36개월，평균20개월，기중76례＞12개월，무절구감염、출혈、적액、기흉복발등병발증。결론단공흉강경수술치료자발성기흉시안전、미창、가행적。
Objective To explore the feasibility of single-site video-assisted thoracoscopic surgery ( VATS) for spontaneous pneumothorax . Methods The clinical data of 114 cases of spontaneous pneumothorax treated by single-site VATS from July 2010 to July 2013 were retrospectively analyzed .Self-made flexible double-joint instrument was used . Results All the surgeries were successful without conversion to open surgery , additional puncture hole , postoperative massive hemorrhage or other complications . Operative time was (42.4 ±11.4) min, postoperative chest tube indwelling time was (1.8 ±0.4) d, and postoperative hospital stay was (5.4 ±3.4) d.All the 114 patients were followed up for 1-36 months (average, 20 months), including 76 cases for more than 12 months.No incision infection, hemorrhage, dropsy, pneumothorax recurrence or other complications were found . Conclusion The single-site VATS for the treatment of spontaneous pneumothorax is a safe , feasible and minimally invasive procedure .