【摘要】 目的总结预防胸腔镜手术并发症的方法,推广电视胸腔镜手术(VATS)。方法我科实施VATS手术376例,368例经VATS完成手术,8例改为传统开胸手术。术式包括肺大疱切除214例,食管疾病手术4例,纵隔肿瘤和囊肿切除2例,肺叶切除或肺楔形切除31例,胸外伤止血和/或肺叶修补72例,胸膜活检和固定术45例,心包开窗引流7例。结果并发症29例(7.9%)。其中术中并发症6例,术后并发症23例,2例自发性气胸Ⅱ型呼衰患者,术后呼衰未能纠正死亡。结论胸腔镜是胸外科一种新的手术方法,只有注重预防,才能减少并发症的发生,使其得到进一步的推广。更多还原

【Abstract】 Objective To summarize the experience of preventing the complications of video-assisted thoracic surgery and to generalize this skill.Methods 376 cases of video-assisted thoracic surgery included bullectomy(214 cases),esophagus diseases(4 cases),resection of mediastinal tumor or cyst(2 cases),lobectomy or wedgeresection of lung(31 cases),hemostasis or loberepair for chest injure(72 cases),pleural biopsies and pleurodesis(45 cases),drains of pericardiotomy(7 cases),and 8 cases conversed to open procedures.Results 29(7.9%) cases of the operations had complications,six of them happened during the video-assisted thoracic surgery.Those were bleeding of vesinjary.2 patients with spontaneous pneumothorax and type Ⅱ respiratory failure died.Conclusion Video-assisted thoracic surgery is a kind of new thoracic surgery,its complications can be reduced by prevention.更多还原