电视胸腔镜下肺段切除治疗肺疾病疗效观察

摘要

Objective To study the application of thoracoscopic lung resection in treatment of pulmonary disease.Methods 31 patients with lung disease,after the tracheal suction double lumen tube vein compound anesthesia,under the thoracoscope lung resection surgery.Results 28 patients were successfully completed of surgery,2 cases were found of serious adhesion intraoperatively and an extend incision was required to complete the surgery,1 case was converted to open thoracic surgery due to intraoperative bleeding which were not controllable under thoracoscope,the average operation time was185 min,the average blood loss was 460 ml,the average hospitalization time was11 days,whole set of cases without death,semi annual follow-up found no recurrence.Conclusion Video-assisted thoracoscope lung resection in treatment of lung disease is safe and reliable with small trauma,minimal pain,shorter hospitalization time,fewer complications and smaill incision. A quick convertion to open thoracic surgery can be applied under appear certain situations.%目的：探讨电视胸腔镜下肺段切除治疗肺疾病的疗效。方法肺疾病患者31例，静脉吸入复合全麻，在电视胸腔镜下行肺段切除手术。结果28例患者顺利完成手术，2例因术中发现严重粘连需延长切口，1例术中大出血中转开胸手术，平均手术时间185min，平均出血量460ml，平均住院时间11d，全组病例无死亡，随访半年均未见复发。结论电视胸腔镜下肺段切除治疗肺疾病，安全可靠、创伤小、疼痛轻、住院时间短、并发症少，出现特殊情况时可迅速延长切口或中转开胸手术。