摘要
目的探讨胸骨拉钩在剑突下胸腔镜全胸腺切除手术当中的应用。方法回顾性分析2018年3月至2021年12月25例剑突下胸腔镜全胸腺切除手术患者的临床资料,全部在术中使用胸骨拉钩,男11例,女14例。结果25例患者均手术顺利,未出现中转剖胸。2例患者出现胸骨下切口愈合延迟,致住院时间延长。术后患者一般无主诉疼痛感。所有患者术后随访1~46个月,生存率100%。结论剑突下胸腔镜全胸腺切除术是目前治疗前纵隔肿瘤的主流术式,胸骨拉钩力量强、稳定性好,且可依据手术中情况随时调节高度,创伤较小,性价比较高,值得在未来纵隔手术中推广。
Objective To investigate the application and prospect of sternal retractor in thoracoscope thymectomy below the xiphoid process.Methods 25 patients who received thoracoscope thymectomy in the department of Thoracic Surgery,Suzhou Municipal Hospital from March 2018 to December 2021 were analyzed retrospectively,including 11 male and 14 female.All of their operations had used sternal retractor.Results All 25 patients underwent successful operation without thoracotomy conversion.Two patients had been prolonged hospital stay because of wound healing delay.Postoperative patients generally had no pain felt,and were followed up for 1~46 months with 100%survival rate.Conclusion Thoracoscopic thymectomy below the xiphoid process is the mainstream operation for the treatment of anterior mediastinal tumors at present.The sternal retractor has strong strength,reliable stability,less trauma and highly cost-effective.Its height can be adjusted in the operation.It is worthy to be popularized in mediastinal surgery in thefuture.
出处
《浙江临床医学》
2022年第11期1642-1643,共2页
Zhejiang Clinical Medical Journal
关键词
胸腔镜
胸骨拉钩
胸腺切除术
Thoracoscopy
Sternal retractor
Thymectomy
