全胸腔镜下解剖性肺段切除41例临床分析
发布时间：2019-08-03 11:20
【摘要】：目的探讨全胸腔镜下肺段切除术的临床应用价值。方法回顾性分析2013年1月~2016年5月41例全胸腔镜下肺段切除术的临床资料,其中淮南市第一人民医院12例,安徽省立医院29例。三孔法,肺段动脉、静脉使用Hem-olok或直线型切割缝合器处理,肺段支气管及段间平面均使用直线型切割缝合器处理。结果 41例手术均顺利完成,无中转开胸及辅助小切口。手术时间89~208(121.0±15.5)min,术中出血量80~350(142.7±11.5)ml。21例原发肺癌行肺门纵隔淋巴结清扫,清扫淋巴结7~15(10.9±0.6)枚。无围手术期死亡。二次手术2例(1例术后咯血,1例肺不张)。术后胸腔引流时间5~9(7.8±0.2)d,术后住院时间6~14(9.3±0.4)d。术后病理诊断腺癌16例,鳞癌5例,转移癌3例,支气管扩张8例,炎性假瘤4例,结核球4例,血管畸形1例。对21例原发肺癌术后随访2~35(25.4±8.8)月,无复发、转移。结论全胸腔镜下解剖性肺段切除术安全、可行、有效。
[Abstract]:Objective to evaluate the clinical value of total thoracoscopic pulmonary segmental resection. Methods the clinical data of 41 cases of total thoracoscopic segmental pulmonary resection from January 2013 to May 2016 were analyzed retrospectively, including 12 cases in Huainan first people's Hospital and 29 cases in Anhui Provincial Hospital. Three-hole method, pulmonary segmental artery, vein were treated with Hem-olok or linear cutting suture, pulmonary segmental bronchus and intersegmental plane were treated with linear cutting suture. Results all the 41 cases were successfully completed without conversion to thoracotomy and auxiliary small incision. The operation time was 89 鈮，
本文编号：2522523
[Abstract]:Objective to evaluate the clinical value of total thoracoscopic pulmonary segmental resection. Methods the clinical data of 41 cases of total thoracoscopic segmental pulmonary resection from January 2013 to May 2016 were analyzed retrospectively, including 12 cases in Huainan first people's Hospital and 29 cases in Anhui Provincial Hospital. Three-hole method, pulmonary segmental artery, vein were treated with Hem-olok or linear cutting suture, pulmonary segmental bronchus and intersegmental plane were treated with linear cutting suture. Results all the 41 cases were successfully completed without conversion to thoracotomy and auxiliary small incision. The operation time was 89 鈮，
本文编号：2522523
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