中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2013年
3期
167-168
,共2页
杨胜生%朱立桓%陈炜生%李达周%张志坚%王雯
楊勝生%硃立桓%陳煒生%李達週%張誌堅%王雯
양성생%주립환%진위생%리체주%장지견%왕문
内窥镜检查%猪%交感神经切除术
內窺鏡檢查%豬%交感神經切除術
내규경검사%저%교감신경절제술
Endoscopiy%Swine%Sympathectomy
目的 探讨经脐内镜下胸交感神经切除术的安全性和可行性.方法 4只家猪常规麻醉下经脐放入特制超长腹腔镜戳卡(trocar),建立气腹.胃镜沿戳卡进入腹腔后使用针状刀分别在左右膈肌穹顶做一切口,将胃镜送入胸腔.单肺通气下使用热活检钳行左右T3交感神经节切除术,膈肌切口自然旷置.手术完成后将其处死解剖.结果 4例手术均成功完成,手术平均(81.7 ±15.4) min,术中无明显出血及周围脏器损伤.术后无气胸发生.解剖证实所有猪的左右T3交感神经节均被切除.结论 经脐内镜下胸部交感神经节切除术安全、可行,美容效果好.
目的 探討經臍內鏡下胸交感神經切除術的安全性和可行性.方法 4隻傢豬常規痳醉下經臍放入特製超長腹腔鏡戳卡(trocar),建立氣腹.胃鏡沿戳卡進入腹腔後使用針狀刀分彆在左右膈肌穹頂做一切口,將胃鏡送入胸腔.單肺通氣下使用熱活檢鉗行左右T3交感神經節切除術,膈肌切口自然曠置.手術完成後將其處死解剖.結果 4例手術均成功完成,手術平均(81.7 ±15.4) min,術中無明顯齣血及週圍髒器損傷.術後無氣胸髮生.解剖證實所有豬的左右T3交感神經節均被切除.結論 經臍內鏡下胸部交感神經節切除術安全、可行,美容效果好.
목적 탐토경제내경하흉교감신경절제술적안전성화가행성.방법 4지가저상규마취하경제방입특제초장복강경착잡(trocar),건립기복.위경연착잡진입복강후사용침상도분별재좌우격기궁정주일절구,장위경송입흉강.단폐통기하사용열활검겸행좌우T3교감신경절절제술,격기절구자연광치.수술완성후장기처사해부.결과 4례수술균성공완성,수술평균(81.7 ±15.4) min,술중무명현출혈급주위장기손상.술후무기흉발생.해부증실소유저적좌우T3교감신경절균피절제.결론 경제내경하흉부교감신경절절제술안전、가행,미용효과호.
Objective To evaluate the safety and feasibility of endoscopic transumbilical thoracic sympathectomy.Methods The technique was performed in 4 swine models.Under general anesthesia,a newly developed long abdominal trocar (60 cm in lengths) was placed through the umbilicus,which was also used to establish pneumoperitoneum.After insertion of gastroscope through this trocar,two small incisions of diagrams were created by needle-knife,through which the gastroscope was sent into the thoracic cavity to ablate the T3 ganglia by Hot biopsy forceps under One-lung ventilation.The animals were killed at the completion of the procedure.Results This procedure was completed in four pigs.The sympathetic chain was successfully ablated in all swine,as confirmed by gross surgical pathology and histology,the mean operative time was (81.7 ±15.4) minutes.There was no major bleeding.All bilateral T3 sympathetic chains were successfully ablated in the 4 swines as confirmed by gross surgical pathology and histology.There was no severe bleeding and damage to peripheral organs during the operation in any of the cases,and no prominent pneumothorax was revealed by postoperative chest X-ray radiography.Conclusion Endoscopic transumbilical thoracic sympathectomy is safe,feasible and effective with good cosmetic result.