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1、探讨单孔全胸腔镜手术治疗胸部疾病的安全性及可行性摘耍:目的探讨单孔全胸腔镜手术在胸部疾病治疗中的可行性及安全性。方法2015年3月〜5月,施行全麻双腔气管插管下单孔全胸腔镜手术25例。于腋前线与腋中线间第4或第5肋间做切口长3~5cm,置入10mm30°胸腔镜和器械,行肺人疱切除+胸膜固定术3例,肺楔形切除术3例,病变活检+I125放射性粒子植入术1例,纵隔肿瘤切除术1例,肺叶切除4例,肺癌根治术13例。结果1例增加一个辅助操作孔,1例中转开胸。手术时间为70〜347min,平均191min;术中出血10〜300ml,平均89ml;胸腔闭式引流时间1〜7d,平均3.6d;术后
2、住院2〜9d,平均4.6d0全组无术后持续漏气、无肺不张、肺部感染、出血及肺栓塞等严重并发症,无围手术期死亡。结论单孔胸腔镜手术治疗胸部各种疾病安全可行,可重复,值得推广。关键词:单孔;胸腔镜;胸部疾病ToExploretheSafetyandFeasibilityofSingle-portCompleteVideo-assistedforTreatmentChestLesionZHANGChang-hong,DUMing,CHENDan,ZHONGHua-ling(DepartmentofThoracicandCardiovascularSurgery,TheFirstAf
3、filiatedHospital,ChongqingMedicalUniversity,Chongqing探讨单孔全胸腔镜手术治疗胸部疾病的安全性及可行性摘耍:目的探讨单孔全胸腔镜手术在胸部疾病治疗中的可行性及安全性。方法2015年3月〜5月,施行全麻双腔气管插管下单孔全胸腔镜手术25例。于腋前线与腋中线间第4或第5肋间做切口长3~5cm,置入10mm30°胸腔镜和器械,行肺人疱切除+胸膜固定术3例,肺楔形切除术3例,病变活检+I125放射性粒子植入术1例,纵隔肿瘤切除术1例,肺叶切除4例,肺癌根治术13例。结果1例增加一个辅助操作孔,1例中转开胸。手术时间为70〜347mi
4、n,平均191min;术中出血10〜300ml,平均89ml;胸腔闭式引流时间1〜7d,平均3.6d;术后住院2〜9d,平均4.6d0全组无术后持续漏气、无肺不张、肺部感染、出血及肺栓塞等严重并发症,无围手术期死亡。结论单孔胸腔镜手术治疗胸部各种疾病安全可行,可重复,值得推广。关键词:单孔;胸腔镜;胸部疾病ToExploretheSafetyandFeasibilityofSingle-portCompleteVideo-assistedforTreatmentChestLesionZHANGChang-hong,DUMing,CHENDan,ZHONGHua-ling(De
5、partmentofThoracicandCardiovascularSurgery,TheFirstAffiliatedHospital,ChongqingMedicalUniversity,Chongqing400016,China)Abstract:ObjectiveToexplorethesafetyandfeasibilityofsingle-portcompletevideo-assistedfortreatmentchestlesion.MethodsAtotalof25casesofChestlesionunderwentsingle-portcomplete
6、video-assistedthoracoscopicsurgeryindouble1umenendotrachealintubationundergeneralanesthesiainourhospitalfromMarch2015toMay2015.Theincisionofabout3~5cmlongwascutbetweentheanterioraxillarylineandthemidaxiliarylineinthefourthorfifthintercostalspaceand10mm30°thoracoscopeandinstrumentswereinsert
7、edthroughtheincision.25patientsunderwentsingle-portcVATSprocedureincludingprocedureineluding:amongwhich3casesofpulmonarybullaresectionandpleurodesis,3casesofwedgeresectionofthelung,1casesofmediastinaltumorbiopsyandIodinel25implantsurgery,1caseofmediastin