【摘要】 目的　探讨我国胸部疾病的电视胸腔镜手术（ Ｖ Ａ Ｔ Ｓ） 方法、治疗原则和发展方向。方法１９９２ 年１０ 月至１９９８ 年１０ 月共为３２２ 例胸部疾病患者施行了 Ｖ Ａ Ｔ Ｓ，其中自发性气胸１１３ 例，肺癌８３例，肺良性肿瘤５２ 例，胸膜病变１９ 例，胸外伤１０ 例，肺气肿２ 例，食管疾病１８ 例，纵隔肿瘤１６ 例，其它胸部疾病９ 例。手术均在全麻下进行，多采用３ ～４ 个１５ ｃｍ 胸壁套管切口操作。结果　共为３２２例患者施行了３３９ 例次 Ｖ Ａ Ｔ Ｓ。其中肺大泡切除加胸膜固定术１２１ 例次，肺楔形切除５７ 例次，肺叶切除４３ 例次，全肺切除５ 例次，胸膜活检和／ 或固定术５２ 例次，纵隔肿瘤切除１１ 例次，胸腺切除５ 例次，食管切除６ 例次，其它共３９ 例次。中转开胸９ 例次，中转开胸率为２８ ％ （９／３２２） 。围术期并发症率为７５ ％ （２４／３２２） ，死亡率为０６ ％ （２／３２２） 。结论　 Ｖ Ａ Ｔ Ｓ 是一种创伤小、痛苦轻、恢复快、安全性高、应用范围较广的胸外科新技术。但是 Ｖ Ａ Ｔ Ｓ 的手术器械有待改进，手术经验需要进一步积累，手术方法和治疗原则仍需进一步规范化。更多还原

【Abstract】 Objective To summarize short term results of video assisted thoracic surgery for 322 patients with chest diseases in Beijing from October 1992 to October 1998 and discuss the role of thoracoscopy in the diagnosis and therapy of thoracic diseases in China Methods Three hundred and twenty two patients (273 men and 85 women) underwent video assisted thoracic surgery for spontaneous pneumothorax (113), lung cancer (83), solitary pulmonary nodules (52), pleural diseases (19), mediastinal tumors (11), myasthenia gravis (5), thoracic trauma (10), esophageal cancer (7), benign esophageal diseases (11), and other indications (11) Data on thoracoscopic procedures, morbidity and mortality, conversion to open procedures were collected for all patients Results Three hundred and thirty nine thoracoscopic procedures were performed in 322 patients These procedures included blebectomy and pleurodesis (121), wedge resections of pulmonary nodules (57), lobectomy and pneumonectomy (48), pleural biopsies and pleurodesis (52), excision of mediastinal mass (11), thymectomy (5), esophagectomy (6), and other procedures (39) Conversion to thoracotomy was required in 9 patients (0 28%) The overall incidence of postoperative complications was 7 5% (24/322) Two patients died postoperatively Conclusions Video assisted thoracic surgery is a safe and effective technique in selected patients with chest diseases The results in this group were similar to those reported previously in North American更多还原