【摘要】 目的探讨利用单关节器械开展单孔胸腔镜下肿瘤切除术的可行性,初步总结其手术方法。方法 2015年10月至12月,广西医科大学第一附属医院心胸外科利用单关节器械开展单孔胸腔镜下胸部肿瘤切除术7例(男性4例,女性3例;肺叶切除+淋巴结清扫3例,纵隔肿瘤切除2例,双侧肺楔形切除2例),均采用单关节器械单孔胸腔镜完成手术。结果 7例均无中转开胸及改多孔胸腔镜手术,均无手术相关并发症。手术时间:肺叶切除+淋巴结清扫98~142 min(平均126 min),纵隔肿瘤切除48~74 min(平均62 min),双侧肺楔形切除术42 min;术中出血量30~350 ml(平均120 ml)。术后病理:肺腺癌3例,纵隔畸胎瘤及胸腺瘤各1例,双肺结核瘤1,肺鳞状细胞癌合并肺软骨瘤错构瘤1例。结论利用单关节器械开展单孔胸腔镜肿瘤切除术是安全可行的,尤其适合在缺乏双关节胸腔镜器械的医院推广。更多还原

【Abstract】 Objective Discuss the feasibility of removal of thoracic tumor under Single-hole thoracoscope by using Single joint equipment,and summary the operation method. Methods From Oct. to Dec. 2015,7 cases with removal of thoracic tumor under Single-hole Thoracoscope by using Single joint equipment in cardiothoracic surgery department of west hospital ward,first affiliated hospital of Guangxi medical university( 4 males,3 female; 3 with pulmonary lobectomy and lymphadenectomy,2 with removal of mediastinal tumor,1 with wedge resection of bilateral lung),all surgicals were done with Single-hole thoracoscope by using Single joint equipment. Results Among 7 cases,none was turned to thoracic surgery and Porous thoracoscope surgery, having surgery related complications. Time of operation: pulmonary lobectomy and lymphadenectomy 98-142 min( 126 min on average),mediastinal tumor removal 48-74 min( 62 min on average),wedge resection of bilateral lung 42 min; amount of bleeding 30-350 ml( 120 ml on average). Postoperative pathological: 3 lung adenocarcinoma,1 squamous cell carcinomas,1 mediastinal teratoma,1 thymoma,1 bilateral lung tuberculoma,1 lung adenocarcinoma merging pulmonary chondroma and pulmonary hamartoma. Conclusions It’s safe and workable to carry out the removal of thoracic tumor under Single-hole thoracoscope by using Single joint equipment,especially fitting to the hospital lack of double-jointed thoracoscopic instrumentation bullae.更多还原