摘要
目的报道单向式胸腔镜肺叶切除术中切除肺叶的时间,并探讨胸腔镜手术方法对手术时间的影响。方法收集2009年10月至2010年10月间,于我科同一医疗组行单向式胸腔镜肺叶切除术的126例连续病患的临床资料,包括总手术时间及用于切除肺叶的时间,并进行统计分析。结果男性65例(52%),女性61例(48%),平均年龄56岁(15～82岁)。其中4例因为术中并发症而被排除。122例手术平均肺叶切除时间为(38.98±13.24)min(17～100min),总手术时间平均为(153.36±39.64)min(70～245min)。对于单肺叶切除,不同肺叶之间不论是切除肺叶的时间还是总的手术时间差异均无统计学意义(P>0.05),而双肺叶切除手术用于切除肺叶的时间长于单肺叶切除手术(P<0.05),但是双肺叶切除手术与单肺叶切除手术在总的手术时间上差异并无统计学意义(P>0.05)。结论通过细化记录肺叶切除时间可反映胸腔镜肺叶切除手术中的核心步骤实施情况。单向式胸腔镜肺叶切除术是一种易操作的胸腔镜肺叶切除手术方法。
Objective To determine the duration of the resection of pulmonary lobe （RPL） and the effect of video-assisted thoracoscopic surgery （VATS） procedure on the duration of RPL. Methods The records of 126 patients who had VATS lobeetomy from October 2009 to October 2010 with a single-direction thoracoscopic procedure in one hospital were reviewed. Results The patients included 65 （52%） men and 61 （48%） women with a mean age of 56 years （range, 15 years to 82 years）. Four cases were excluded because of intraoperative complication. The average length of operation of RPL in the 122 patients without intraoperative complications was 38.98 rain 〈 13. 243 rain （range, 17 rain to 100 rain）, and the average length of the entire operation was 153.36 min ! 39. 64 rain （range, 70 rain to 245 min）. Regardless which lobes, the average length of a single RPL remained the same （P 〈 0. 05）. The RPL of bilobectomies took longer than a single lobectomy （P 〈 0. 05）. However, no significant differences in the length of the entire operations were found between bilobectomy and single lobectomy （P〈0.05）. Conclusion The length of RPL reflects the difficulties of the core step of thoracoscopic lohectomy. Single-direction thoracoscopic lobectomy is an easy procedure to manipulate.
出处
《四川大学学报（医学版）》
CAS
CSCD
北大核心
2013年第1期119-121,4,共3页
Journal of Sichuan University(Medical Sciences)
基金
四川省科技厅基金(No.2007SGY018)资助
关键词
胸腔镜
肺叶切除术
手术时间
Video-assisted thoracoscopie surgery Lobectomy Operation time
