单操作孔电视胸腔镜手术治疗肺部疾病158例临床分析.PDF

• 116 • Chin J Clin Thorac Cardiovasc Surg April 2012 Vol. 19 No. 2 • 115858 610041 single-port VATS 2008 1 2010 6 158 67 39 44 8 70 1 28 151 7 6 185 60 min335 95 ml10 6 4 252 4 d17 88415 476 25 387 12850 220 min 18080 478 ml1 42 38538 965 57 695474 7d R6653 R5614A1007-4848201202-0116-04 Single Utility Port Video-assisted Thoracoscopic Surgery for 158 Patients with Pulmonary DiseasesCHE Guo-wei MEI Long-yong MEI Jian-dongLIU Lun-xu Department of Thoracic Surgery , West China Hospital Sichuan Uni- versityChengdu 610041, PR China Email cheguowei@yahoocomcn Abstract ObjectiveTo explore the method and effect of single utility port video-assisted thoracoscopic surgery VATS for the treatment of pulmonary diseasesMethodsFrom Jan 2008 to Jun 2010, 158 patients with pulmonary diseases were treated by single working pore VATS in the Department of Thoracic Surgery of West China Hospital, Sichuan University Their diseases included 6 kinds of different lesions, such as pneumothorax inflammatory pseu- dotumor, hamartoma, lymphangiomyomatosis , lung tuberculoma, and lung carcinoma Seventy patients had definite diagnosis before their operation, and the others had their fi nal diagnosis by intraoperative frozen section evaluation and postoperative pathology examination All the resections were carried out by pure thoracoscopic procedures with two ports, one working pore and one observing pore A 28-Fr chest tube was placed to the pleural apex Limited lung resection was performed in 151 patients, single lobectomy in 7 patient