摘要
目的探讨单孔全胸腔镜肺大疱切除术后不置胸管的安全性和可行性。方法 2013年10月～2015年3月行全麻双腔气管插管下单孔全胸腔镜肺大疱切除不置胸管手术28例。于腋前线第4肋间做切口长2.5～3 cm,置入5 mm30°胸腔镜和器械行肺大疱切除,术后不留置胸管。结果 28例手术成功,无中转双孔胸腔镜或开胸手术,无手术相关并发症。手术时间25～45 min,平均32 min;术中出血3～15 ml,平均8 ml;术后住院时间1～2 d,平均1.5 d。28例术后随访半年,无复发。结论单孔全胸腔镜肺大疱切除术后不置胸管治疗年轻患者自发性气胸安全、可行。
Objective To evaluate the safety and technical feasibility of uniportal complete video-assisted thoracoscopic（ c VATS） bullectomy without chest tube placement in young patients with spontaneous pneumothorax. Methods From October2013 to March 2015,28 patients underwent uniportal c VATS bullectomy without chest tube placement. An incision about 2. 5- 3 cm in length was made on the anterior axillary line at the fourth intercostal space. A 5-mm 30° thoracoscope and surgical instruments were inserted through the incision. No chest tube placement was performed after thoracoscopic bullectomy. Results All the surgeries were successful without conversions to biportal c VATS or open surgery. No postoperative severe complications occurred. The mean operation time was 32 min（ range,25- 45 min）. The mean blood loss was 8 ml（ range,3- 15 ml）. The mean postoperative hospital stay was1. 5 d（ range,1- 2 d）. No pneumothorax recurrence was found during a follow-up for six months. Conclusion Uniportal c VATS bullectomy without chest tube placement is a safe and feasible surgical procedure for young patients with spontaneous pneumothorax.
出处
《中国微创外科杂志》
CSCD
北大核心
2016年第6期535-537,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
电视胸腔镜手术
单孔
自发性气胸
肺大疱
胸腔引流
Video-assisted thoracoscopic surgery
Uniport
Spontaneous pneumothorax
Pulmonary bulla
Chest drainage
