摘要
目的探讨电视胸腔镜治疗胸腺瘤和重症肌无力(MG)的手术方法和可行性。方法2000年3月～2006年9月,15例患者行胸腺瘤和(或)重症肌无力胸腔镜手术治疗。其中男9例,女6例;年龄15～66岁,平均38.5岁。行胸腺全切15例,合并MG行胸腺扩大切除9例。结果所有手术均在胸腔镜下完成,无中转开胸者。5例MG病例术后需短暂呼吸机辅助通气(<12h),余无严重并发症,无手术死亡病例。平均手术时间120min,平均胸腔引流1.9d,平均术后住院7d。结论胸腔镜治疗早期胸腺瘤较开胸手术具有创伤小、恢复快等显著优势,且符合该类肿瘤的外科治疗原则;胸腔镜胸腺扩大切除治疗重症肌无力在技术上是可行的。
[Objective] To examine the efficacy and methodology of video assisted thoracic surgery （VATS） for thymoma and myasthenia gravis （MG）. [Methods] 15 patients underwent either video assisted thoracoscopic thymectomy or extended thymectomy between March, 2000 and Sept., 2006. There were 9 males and 6 females aged 15 to 66 years with a mean of 38.5 years. 15 thymectomies for thymona and 9 extended thymectomies for MG were performed. [Results] Mean chest tubedrainage time was 1.9 days and mean postoperative hospitalization time was 7 days. 5 patients with MG needed temporary mechanical ventilation （less than 12 hours）. There was no mortality. [Conclusion] Video assisted thoracoscopic thymectomy for thymoma has the superiority of less trauma and quicker recovery comparing with that through transstemal procedures. Extedned thymectomy through VATS is effective and reliable.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第3期228-230,共3页
China Journal of Endoscopy
关键词
胸腺肿瘤
重症肌无力
胸腔镜手术
thymoma
myasthenia gravis
video-assisted thoracic surgery
