电视胸腔镜下肋骨肿瘤切除24例

摘要

Objective To explore the possibility of minimally invasive resection of chest wall tumor by video-assisted tho-racoscopic surgery( VATS) .Methods Retrospective analysis of 24 cases of chest wall tumors with minimally invasive resec-tion by VATS from June 2013 to May 2017, including 13 cases of bone fibrous dysplasia, 7 cases of rib abnormal hyperplasia of fiber, 2 cases of cartilaginous tumor, 1 case of Langerhans histiocytosis and 1 case of extramedullary single plasma cell tumor.3 cases with C arm positioning in operation and 4 cases with computer navigation and positioning .Results 24 cases of rib tumors were successfully removed .No surgical death and serious complications occurred in this group .All patients followed up 1-3 years, there is no recurrence.Conclusion Resection of rib tumors with VATS can bring precise resection and lead to minimally invasive.%目的 探讨电视胸腔镜辅助微创切除胸壁肿瘤的可行性.方法 2013年6月至2017年5月,24例胸壁肿瘤患者行电视胸腔镜辅助微创切除治疗,其中骨纤维异样增殖症13例,肋骨纤维结构不良7例,软骨瘤2例,朗格汉斯组织细胞增生症1例,髓外单发浆细胞瘤1例.3例术中C型臂定位,4例术中计算机导航定位.结果 24例患者均顺利切除肋骨肿瘤,无手术死亡及严重并发症.随访1～3年,均无复发.结论 胸腔镜辅助切除肋骨肿瘤可行,可微创精确切除,减小损伤.