摘要
目的 :探讨胸腔镜胸部肿瘤手术的可行性 ,并介绍手术操作方法。方法 :1997年 7月以来 ,应用胸腔镜治疗胸部肿瘤 10 2例 ,其中良性肿瘤 35例 ,恶性肿瘤 6 7例。行肺叶切除 5 4例 ,全肺切除 4例 ,肺楔形切除 12例 ,纵隔肿瘤切除 10例 ,胸腺切除 5例 ,单发胸膜间皮瘤切除 3例 ,胸膜活检加固定术 2例 ,食管癌切除 9例 ,胸部手术时间 6 0～ 2 4 0min ,平均 12 6 .5min ,术后平均住院 9.6d。恶性肿瘤病例术后根据病情辅以化疗或放疗等综合治疗。结果 :除 3例因胸膜广泛粘连转传统开胸手术外 ,其余病例均顺利完成手术。术后发生并发症 6例 ,其中死亡 1例 ,其余均治愈。结论 :胸腔镜治疗胸部肿瘤就技术操作而言是可行的 ,创伤小 ,恢复快 ,效果好 ,对胸部恶性肿瘤只要严格掌握手术适应症 。
Objective:To investigate the possibility of the uses of thoracoscope in the resection for chest tumor and introduce the methods of thoracoscope.Methods:Thoracoscope was used on the 102 patients of chest tumor since July 1997 with 35 patients for benign tumor and 67 for malignant tumor.Fifty-four patients underwent lung resections and 4 with total lung resections,12 with wedge resections,10 of mediastmal tumors and 5 of the thymusectomy,2 for bigpse of pleura,9 of oesphageal tumor for thoracoscopic operation.Time for operation ranged from 60～240mins.Mean time for 126.5mins.With the stay of 9.6 days in hospital.Results:All patients were successful performed except 3 patients with extensive adhesive pleura.The complications of operation were observed on 6 patients with one death.Conclusion:The use of thoracoscopic operation is very useful with little trauma and good result.To be strict with operation for the malignant chest tumor is qual to the routine open chest surgery.
出处
《中国内镜杂志》
CSCD
2002年第8期41-43,共3页
China Journal of Endoscopy
