Dai Jian Chuan , Yin Shi Jie , Chen Xi Lin , Wang Rui , Chen Jin Run , Chang Ji Long . Clinical Efficacy of Video-assisted Thoracic Surgery in Treatment of 32 Cases of Mediastinal Tumors[J]. Journal of Kunming Medical University, 2017, 38(01): 106-108.
Citation: Dai Jian Chuan , Yin Shi Jie , Chen Xi Lin , Wang Rui , Chen Jin Run , Chang Ji Long . Clinical Efficacy of Video-assisted Thoracic Surgery in Treatment of 32 Cases of Mediastinal Tumors[J]. Journal of Kunming Medical University, 2017, 38(01): 106-108.

Clinical Efficacy of Video-assisted Thoracic Surgery in Treatment of 32 Cases of Mediastinal Tumors

Funds:

基金: 国家自然科学基金资助项目 (81560462);

  • Received Date: 2016-06-30
  • Objective To explore the clinical effect and application value of video-assisted thoracic surgery (VATS) for mediastinal tumor by comparing with traditional thoracotomy.Methods Thirty-two patients with mediastinal tumor were treated by VATS from June, 2012 to June, 2016 and the clinical data of 50 patients with mediastinal tumor undergoing thoracotomy from January 2003 to June 2012 were retrospectively analyzed.Results VATS group vs Thoracotomy group:There were no conversion thoracotomy, postoperative death, no thoracotomy for hemostasis in VATS group.There were 6 cases of incision infection, 8 cases of pulmonary infection, 8 cases of pulmonary infection, and no other serious complications in two groups.The incidence of incision infection, pulmonary atelectasis and pulmonary infection rate in VATS group was lower than thoracotomy group (P<0.05) .There were differences in the intraoperation bleeding volume (188.7±28.77 vs 266.4±54.55) m L, postoperative drainage (212.3±28.48 vs 352.44±9.67) m L, drainage time (2.65±0.71 vs 3.64±0.92) d, analgesia time (1.35±0.49 vs 2.38±0.49) d, hospitalization time (8.74±0.89 vs 12.16±1.11) d between two groups, P<0.05.Conclusion VATS in the treatment of mediastinal tumor has obvious advantages compared with traditional thoracotomy surgery, so it has good clinical efficacy and the the value of promotion.
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