| 赵恒池,朱丰杰,黄戍成,梁钧,任哲.单操作孔胸腔镜肺段切除术55例临床分析[J].浙江中西医结合杂志,2019,29(8): |
| 单操作孔胸腔镜肺段切除术55例临床分析 |
| Single Utility Port Video-assisted Thoracoscopic Anatomic Segmentectomy: Report of 55 cases |
| 投稿时间：2019-04-08 修订日期：2019-04-24 |
| DOI： |
| 中文关键词: 单操作孔 胸腔镜 解剖性肺段切除术 |
| 英文关键词:single utility port thoracoscopic anatomic segmentectomy |
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| 中文摘要: |
| 目的 探讨单操作孔胸腔镜下解剖性肺段切除术临床应用于肺癌患者的安全性及可行性。方法 回顾性分析浙江省中医院心胸外科于2016年1月至2018年12月所开展的55例肺段切除术患者的临床资料。其中男性患者21例,女性患者34名,年龄26-72(平均42)岁 。术中采用单操作孔的方式,手术器械均由单一操作孔进入,腔镜由另开的观察孔进入,术中明确解剖结构后,采用直线型切开吻合器处理肺段间血管、支气管及段间组织。统计并分析围术期各项临床资料。结果 1例行右下肺基底段切除术,因术后出血行开胸探查止血术,其余54例均顺利施行肺段切除术,过程顺利,无中转肺叶切除术,无中转开胸,无围手术期死亡。结论 对于部分Ia期非小细胞癌患者及不适合行肺叶切除术的患者,单操作孔胸腔镜肺段切除术可作为一种可供选择的安全可靠的术式。 |
| 英文摘要: |
| Objective To evaluate the safety and feasibility of single utility port video-assisted thoracoscopic surgery(VATS) anatomical segmentectomy for lung cancer. Methods We retrospectively reviewed 55 patients who received single utility port VATS anatomical segmentectomy from January 2016 to December 2018. There are 21 males and 34 females with a mean age of 42 years(26-72 years). Single utility port was performed during the surgery. The instruments were all through the port for operation. The camera was through the other port for observation. The vessel and bronchi of pulmonary segment were cut and stitched by liner cut staple. Collecting and analysing the postoperative data. Results 1 patient whose lesion was located in basal segment of right lower lung underwent suture owing to postoperative bleeding. The remaining 54 patients received surgery successfully, without conversation to thoracotomy or lobectomy. No conversation to open procedure and there was no postoperative mortality. Conclusion Single utility port VATS anatomy segmentectomy is safe and feasible as an utilized option for patients who were with non-small cell lung cancer staged IA or unable to tolerate pulmonary lobectomy. |
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