186例单孔胸腔镜手术治疗胸部疾病临床分析

发布时间：2018-02-01 19:02

本文关键词： 单孔胸腔镜肺叶切除术自发性气胸肺肿瘤　出处：《重庆医学》2017年20期 　论文类型：期刊论文

【摘要】：目的总结单孔胸腔镜手术的临床经验,探讨其在治疗胸部疾病中的可行性和安全性。方法回顾性分析2014年8月至2016年3月186例行单孔胸腔镜手术患者的临床资料,行病变局部切除171例,肺叶切除15例。结果局部切除患者平均手术时间46(10~75)min,平均出血量23(5~65)mL;术中中转为双孔者11例,中转为三孔者6例;术后平均住院时间4.7(3~9)d。肺叶切除患者平均手术时间152(95~215)min,平均出血量96(60~195)mL;术中中转为双孔2例,中转为三孔2例;术后平均住院时间6.7(5~9)d。所有患者无围术期死亡和严重并发症。结论单孔胸腔镜手术治疗胸部疾病安全、可靠、美观,并发症少、创伤小、恢复快。
[Abstract]:Objective to summarize the clinical experience of single-hole thoracoscopic surgery. Methods the clinical data of 186 patients undergoing thoracoscopic surgery from August 2014 to March 2016 were retrospectively analyzed. 171 cases underwent local resection and 15 cases underwent lobectomy. During the operation, 11 cases were converted to double holes, 6 cases were converted to three holes. The average postoperative hospitalization time was 4. 7 days and 3 days. The average operative time of lobectomy patients was 152? 95? 215? min, and the mean blood loss was 96? 60,195? During the operation, 2 cases were converted to double holes and 2 cases were converted to three holes. There were no perioperative death and severe complications in all patients. Conclusion single hole thoracoscopic surgery is safe, reliable, beautiful, less complication and less trauma in the treatment of thoracic diseases. Recover quickly.
【作者单位】：西南医科大学;四川省自贡市第一人民医院胸心外科;
【分类号】：R655
【正文快照】： 目前,胸腔镜手术已成为胸外科最主要的手术方式,因其创伤小,恢复快,在临床上得到广泛开展。随着手术技巧及经验的提高,2003年报道了只在胸壁上做一个切口的单孔胸腔镜,完成简单的胸部疾病诊断和治疗[1]。2011年以后单孔胸腔镜手术发展迅速,手术适用范围逐渐扩大至肺叶切除、肺

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