CAJ | 학술논문

目的：探讨胸腔镜肺段切除术在肺部疾病治疗过程中的安全性、可行性及有效性。方法选取2011年1月~2013年12月安徽省立医院胸外科34例接受胸腔镜肺段切除术患者。回顾性分析临床资料,统计患者的手术时间、术中出血量以及术后并发症的发生情况。结果34例患者均成功施行胸腔镜肺段切除术,平均手术时间(119．6±53．2)min,术中平均出血量(90．0±52．3)ml,术后平均留置胸引管时间(5．1±1．2)d,术后平均住院时间(6．2 ±1．9)d,无围手术期死亡病例,术后再次手术1例,持续性肺漏气≥7 d 2例,肺不张1例,均经保守治疗治愈。结论胸腔镜肺段切除术在治疗肺部良性疾病及早期肺癌方面是安全可行的,术中出血量较少,术后留置胸引管时间及术后住院时间短,手术时间及术后并发症并不相应增加。
목적：탐토흉강경폐단절제술재폐부질병치료과정중적안전성、가행성급유효성。방법선취2011년1월~2013년12월안휘성립의원흉외과34례접수흉강경폐단절제술환자。회고성분석림상자료,통계환자적수술시간、술중출혈량이급술후병발증적발생정황。결과34례환자균성공시행흉강경폐단절제술,평균수술시간(119．6±53．2)min,술중평균출혈량(90．0±52．3)ml,술후평균류치흉인관시간(5．1±1．2)d,술후평균주원시간(6．2 ±1．9)d,무위수술기사망병례,술후재차수술1례,지속성폐루기≥7 d 2례,폐불장1례,균경보수치료치유。결론흉강경폐단절제술재치료폐부량성질병급조기폐암방면시안전가행적,술중출혈량교소,술후류치흉인관시간급술후주원시간단,수술시간급술후병발증병불상응증가。
Objective To investigate the safety efficarery and indication of total Thoracoscopic anatomic pulmonary segmentectomy for the treatment of pulmonary diseases. Methods Between January 2011 and December 2013 thirty-four patients who received total thoracoscopic anatomic pulmonary segmentectomy in Department of Tho-racic Surgery Anhui Provincial Hospital. The clinical records of these patients were Retrospectively reviewed, statistic the operation time,blood loss and postoperative complications. Results All the thirty-four patients underwent total thoracoscopic anatomic segmentectomy successfully. The mean operative time was ( 119. 6 ± 53. 2 ) min. The mean blood loss was (90. 0 ± 52. 3)ml. The chest tubes ware maintained in position for (5. 1 ± 1. 2)d. The mean postoper-ative hospitalization time was (6. 2 ± 1. 9)d. After surgery, there was no erioperative death in the procedure, there was 1 secondary operation, Prolonged air leak occurred in two patients for 7 days,1 patient developd pulmonary infec-tion, all of them were cured. Conclusion Total thoracoscopic anatomic pulmonary segmentectomy is a feasible and safe technique to treatment of benign pulmonary diseases and lung cancer. The intraoperative blood loss, postopera-tive drainage time, and hospital stay were fewer, There were no increasion about the operating time and postoperative complication.