摘要:
目的 探讨微创手术在诊断和治疗肺良性肿瘤中的应用价值.方法 2007年7月至2010年12月共收治肺良性肿瘤患者73例,69次(同期双侧3次)微创手术,其中包括VATS(video-assisted thoracoscopic surgery)电视胸腔镜手术和VAMT(video-assisted mini-thoracotomy)电视胸腔镜辅助小切口手术,切除瘤体72个.手术方式:肺楔形切除术22例(其中3例双侧VATS),肺叶切除术11例,肺肿瘤摘除术36例,中转开胸4例.VATS为2-3个小切口;VAMT为辅助5～8cm左右小切口.结果 全组无围手术期死亡病例,术中出血量(VATS:50～130 mL)/(VAMT:110～200 mL);手术时间(VATS:110 min/ VAMT:125 min);住院时间(VATS:4～5 d)/( VAMT:5～7 d);术口平均长度为5～10 cm.术后病理:结核球10例,炎性假瘤18例,慢性肉芽肿11例,肺囊肿6例,错构瘤21例,硬化性血管瘤3例.结论 微创手术在肺良性肿瘤是一种值得推广的诊断和治疗方法,有广泛的开展价值.
Abstract:
Objective To investigate the application value of minimally invasive surgery in the diagnosis and treatment of lung benign tumor.Methods From July 2007 to December 2010,73 patients with lung benign tumor were enrolled in this study.69 times(same bilateral 3 times)of thoracoscope surgery were performed,including VATS and VAMT(video-assisted mini-thoracotomy),and 72 tumors were removed.Surgical methods:lung wedge resection in 22 patients(including bilateral VATS in 3 patients),lobectomy resection in 11 patien...
点击查看大图
下载:
