CAJ | 학술논문

目的总结电视胸腔镜手术治疗胸外科疾病的临床经验.方法采用电视胸腔镜技术治疗胸外科疾病患者282例,其中肺大疱切除术162例,外伤性机化性血胸廓清术23例,肺囊肿切除术17例,脓胸廓清纤维板剥脱术30例,肺部结节性病灶切除术17例,周围型肺癌肺楔形切除术13例,自发性血气胸肺大疱切除加止血术9例,胸膜肿瘤6例,食管平滑肌瘤2例,肺部异物取出术3例.结果手术时间30～180 min,出血量20 ～650 ml,胸腔闭式引流时间3～16 d,术后并发症11例,并发症发生率3.9％,全组无死亡.结论胸腔镜微创手术创伤小,出血少,恢复快,有较广泛的胸外科适应证.
목적 총결전시흉강경수술치료흉외과질병적림상경험.방법 채용전시흉강경기술치료흉외과질병환자282례,기중폐대포절제술162례,외상성궤화성혈흉곽청술23례,폐낭종절제술17례,농흉곽청섬유판박탈술30례,폐부결절성병조절제술17례,주위형폐암폐설형절제술13례,자발성혈기흉폐대포절제가지혈술9례,흉막종류6례,식관평활기류2례,폐부이물취출술3례.결과 수술시간30～180 min,출혈량20 ～650 ml,흉강폐식인류시간3～16 d,술후병발증11례,병발증발생솔3.9％,전조무사망.결론 흉강경미창수술창상소,출혈소,회복쾌,유교엄범적흉외과괄응증.
Objective To summarize the clinical experience about video-assisted-thoracoscopic in the treatment of thoracic surgical disease.Methods Through the video-assisted-thoracoscopic technique in the treatment of 282 cases with thoracic surgical diseases,which included the pulmonary bulla resection in 162 cases,the organizing blood thoracic dissection by trauma in 23 cases,the excision of lung-cyst in 17 cases,the empyema clearance and fibreboard stripping in 30 cases,the pulmonary nodular lesion resection in 17 cases,the peripheral lung wedge resection in 13 cases,the spontaneous pneumothorax pulmonary bulla resection and hemostasis hysterectomy in 9 cases,the pleural tumors in 6 cases,the esophageal leiomyoma in 2 cases,the removal foreign body of lung in 3 cases.Results The operative time was 30 ～ 180minutes,the volume of bleed was 20 ～650ml,the postoperative thoracic drainage was 3 ～ 16 days,the postoperative complications occurred in 11 patients,the incidence of complications was 3.9％,there was no death.Conclusion The thoracoscopic minimally invasive surgery is trauma,less bleeding,rapid recovery,and had the broader indications for thoracic surgery.