【摘要】 目的:探讨单操作孔全胸腔镜手术诊治孤立性肺结节的可行性。方法:回顾分析2008年7月至2011年12月间42例孤立性肺结节经胸腔镜手术的临床资料。胸腔镜操作孔位于腋前线第4或5肋间,长约1.5-3.0cm,观察孔位于腋中线第7和8肋间,约1.0-1.5cm,经单一操作孔完成手术。术中冰冻检查若为良性结束手术;若为恶性则扩大手术。结果:42例患者中(肺部良性肿瘤28例、恶性肿瘤14例)单操作孔手术38例,术中改传统三孔手术4例,无中转开胸。手术时间30-160min,平均(65±12)min;术中出血10-240ml,平均(85±30)ml。术后患者均顺利恢复,未出现严重并发症。结论:单操作孔胸腔镜手术进一步减轻了创伤,可以完成孤立性肺结节的诊断与治疗,安全可行,值得推广。更多还原

【Abstract】 Objective: To study the clinical feasibility and application of uniportal video- assisted thoracic surgery( VATS) for diagnosis and treatment of solitary pulmonary nodule. Methods: To analyze the clinical findings of 42 patinets with solitary pulmonary nodule treated by VATS. The operation incision was taken between the 4th- 5thcostal space of anterior axillary line in 1. 5- 3. 0cm long. The observasion incision was made between the 7th- 8thcostal space of middle axillarylinein 1. 0- 1. 5cm long. All procedures were performed through the single operation incision.The suregery was completed according to the fast iced pathologic examination. Results: Of the 42 cases,with pulmonary benign tumour in 2 8,with malignant tumour in 1 4. 3 8 patients underwent uniportal VATS while 4 patients were operated with threeports VATS. Operative time was 30- 160min,average of( 65 ± 12) min. Intraoperative blood loss 10- 240ml,average of( 85 ± 30) ml. All patients recovered smoothly without severe complications. Conclusion:Uniportal VATS appears to be tolerable,safe and efficient in diagnosis and treating solitary pulmonary nodule with minimal invasive and should be accepted as the alternative treatment.更多还原