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
2014年
11期
668-669,672
,共3页
NOTES%胸腔镜%肺活检术%动物实验
NOTES%胸腔鏡%肺活檢術%動物實驗
NOTES%흉강경%폐활검술%동물실험
NOTES%Thoracoscope%Lung biopsy%Experiments on animals
目的 探索一种新的NOTES手术路径,不经过食管或者气管径路,而是经口底-气管前间隙-胸骨后间隙,进入胸腔,施行胸腔内手术.方法 杂种犬6只,气管插管全麻,在门齿后方,舌系带前方做切口,利用胸腔镜等器械,沿气管前间隙逐渐分离,一直达胸骨上窝平面,进入胸骨后间隙,切开右侧纵隔胸膜,进入胸腔,利用超声刀切除小块肺组织,做活检.结果 所有实验动物均顺利完成手术,术中无心律失常、大出血、气道梗阻及死亡.结论 该径路不需借助软质内窥镜,直接用针式胸腔镜及腔镜下器械即可完成手术,操作空间大,相对安全.
目的 探索一種新的NOTES手術路徑,不經過食管或者氣管徑路,而是經口底-氣管前間隙-胸骨後間隙,進入胸腔,施行胸腔內手術.方法 雜種犬6隻,氣管插管全痳,在門齒後方,舌繫帶前方做切口,利用胸腔鏡等器械,沿氣管前間隙逐漸分離,一直達胸骨上窩平麵,進入胸骨後間隙,切開右側縱隔胸膜,進入胸腔,利用超聲刀切除小塊肺組織,做活檢.結果 所有實驗動物均順利完成手術,術中無心律失常、大齣血、氣道梗阻及死亡.結論 該徑路不需藉助軟質內窺鏡,直接用針式胸腔鏡及腔鏡下器械即可完成手術,操作空間大,相對安全.
목적 탐색일충신적NOTES수술로경,불경과식관혹자기관경로,이시경구저-기관전간극-흉골후간극,진입흉강,시행흉강내수술.방법 잡충견6지,기관삽관전마,재문치후방,설계대전방주절구,이용흉강경등기계,연기관전간극축점분리,일직체흉골상와평면,진입흉골후간극,절개우측종격흉막,진입흉강,이용초성도절제소괴폐조직,주활검.결과 소유실험동물균순리완성수술,술중무심률실상、대출혈、기도경조급사망.결론 해경로불수차조연질내규경,직접용침식흉강경급강경하기계즉가완성수술,조작공간대,상대안전.
Objective To find a new operation based on the themy of NOTES,through the way of mouth floor-pretracheal space-retrosternal space,instead of through esophagus or the trachea.Methods We anesthetized six mongrel dogs with endotracheal intubation,then cut the tissue between the incisors and the glossodesmus.The retrosternal space was separated slowly by the balloon expander,and cut the right mediastinal fascia,and went through thorax,then cut a small piece of lung tissue,which would be used to biopsied.Results All of the 6 operations were successfully completed,without any arrhythmia,serious bleeding,airway obstruction and death.Conclusion It doesn't need the soft endoscope in the new operation,which will have bigger operating space and to be safer,just with pin type thoracoscope and related apparatus.
