临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
10期
1855-1856,1857
,共3页
刘永靖%于奇%缪军%陶宇%彭磊磊%戚胜波%吕本博
劉永靖%于奇%繆軍%陶宇%彭磊磊%慼勝波%呂本博
류영정%우기%무군%도우%팽뢰뢰%척성파%려본박
单操作孔%全胸腔镜%肺叶切除术%肺癌
單操作孔%全胸腔鏡%肺葉切除術%肺癌
단조작공%전흉강경%폐협절제술%폐암
single utility port%complete thoracoscope surgery%lobotomy%lung cancer
目的：总结单操作孔全胸腔镜肺叶切除术的临床应用体会。方法2012年3月至2014年5月共施行126例全胸腔镜下肺叶切除术。术中取腋中线第7肋间切口约1.5 cm作为胸腔镜观察孔,腋前线第4,5肋间4~5 cm切口作为主操作孔。所有手术均通过主操作孔在胸腔镜下完成,肺癌患者同时行系统淋巴结清扫。结果全组平均手术时间110±25 min(85-150 min),平均出血70±10 ml(20-150 ml),术后胸引管平均引流量320±60 ml(200-550 ml),术后胸引管平均保留时间4.2±1.6 d(3-6 d),术后住院时间平均7.7±2.5 d(5-10 d)。所有患者均康复出院,未发生严重并发症及围术期死亡,中转开胸13例。结论术前筛选把握适应症,术中进行胸腔镜探查,细致谨慎地镜下操作,单操作孔全胸腔镜肺叶切除术安全可靠,且具有创伤小,出血少,恢复快的优势。
目的：總結單操作孔全胸腔鏡肺葉切除術的臨床應用體會。方法2012年3月至2014年5月共施行126例全胸腔鏡下肺葉切除術。術中取腋中線第7肋間切口約1.5 cm作為胸腔鏡觀察孔,腋前線第4,5肋間4~5 cm切口作為主操作孔。所有手術均通過主操作孔在胸腔鏡下完成,肺癌患者同時行繫統淋巴結清掃。結果全組平均手術時間110±25 min(85-150 min),平均齣血70±10 ml(20-150 ml),術後胸引管平均引流量320±60 ml(200-550 ml),術後胸引管平均保留時間4.2±1.6 d(3-6 d),術後住院時間平均7.7±2.5 d(5-10 d)。所有患者均康複齣院,未髮生嚴重併髮癥及圍術期死亡,中轉開胸13例。結論術前篩選把握適應癥,術中進行胸腔鏡探查,細緻謹慎地鏡下操作,單操作孔全胸腔鏡肺葉切除術安全可靠,且具有創傷小,齣血少,恢複快的優勢。
목적：총결단조작공전흉강경폐협절제술적림상응용체회。방법2012년3월지2014년5월공시행126례전흉강경하폐협절제술。술중취액중선제7륵간절구약1.5 cm작위흉강경관찰공,액전선제4,5륵간4~5 cm절구작위주조작공。소유수술균통과주조작공재흉강경하완성,폐암환자동시행계통림파결청소。결과전조평균수술시간110±25 min(85-150 min),평균출혈70±10 ml(20-150 ml),술후흉인관평균인류량320±60 ml(200-550 ml),술후흉인관평균보류시간4.2±1.6 d(3-6 d),술후주원시간평균7.7±2.5 d(5-10 d)。소유환자균강복출원,미발생엄중병발증급위술기사망,중전개흉13례。결론술전사선파악괄응증,술중진행흉강경탐사,세치근신지경하조작,단조작공전흉강경폐협절제술안전가고,차구유창상소,출혈소,회복쾌적우세。
Objective To summarize the clinical application experience of single utility port complete thora-coscope lobotomy. Methods From March 2012 to May 2014, 126 cases of video-assisted thoracoscope lobotomy were completed in our department. An approximately 1. 5cm surgery incision was taken at the 7th intercostal mid-axil-lary line as the thoracoscope observation hole and an approximately 4-5cm incision at the 4th or 5th intercostal as the primary operation hole. All surgeries were completed by thoracoscope surgery. At the same time, they were given sys-tematic lymph node dissection. Results The average operative time was 110 ± 25min (85-150 min), the average amount of bleeding was 70 ± 10 ml (20-150 ml), the average chest lead liquid of post-operative was 320 ± 60 ml (200-550 ml), the chest tube retention time of post-operative was 4. 2 ± 1. 6 d (3-6 d), and the average duration of hospital stay was 7. 7 ± 2. 5 d (5-10 d). All patients recovered smoothly, and there was no serious perioperative complication and death occurred. 13 cases opened chest because of lymphatic and vascular dense adhesion. Conclu-sion Preoperative screening cases should grasp the operation indications strictly. For single utility port complete tho-racoscope lobotomy, it is a safe method with less traumatic, less bleeding, and faster recovery.
