【摘要】 目的　探讨电视胸腔镜手术 (VATS)在婴幼儿胸部疾病诊断和治疗中的价值。方法　对10例平均年龄 1 8岁 ,平均体重 9 7kg的婴幼儿施行了VATS ,包括脓胸清除 4例、纵隔肿瘤摘除、先天性肺囊肿切除和先天性膈疝修补各 2例 ,占同期VATS总数的 3 1%。结果　全组平均手术时间 6 8min。平均留置胸管 2 0d。术后平均住院 7 5d。其中 1例膈疝术后第 10d因左肺发育不良、左肺不张死于呼吸衰竭。结论　婴幼儿VATS安全、可行 ,发展前景良好。更多还原

【Abstract】 Objective: To evaluate the experience of video-assisted thoracoscopic surgery (VATS) in infants with chest diseases. Methods: From May 1997 to May 2000, ten children with chest diseases received VATS under general anesthesia at our hospital. The median age was 1.8 years (range, 9 days to 3 years) and the median body weight was 9.7kg (range, 2 8～14 0?kg). The operative procedures include debridement and decortication in 4, resection of mediastinal tumor in 2, repair of diaphragmatic hernia in 2, and congenital lung cyst resection in 2. Results: There was one operative death with a mortality rate of 10%. The cause of death was respiratory failure due to left pulmonary hypoplasia in a 9-day old infant. The mean operating time was 69 minutes (range, 30～140 minutes). The mean duration of chest drainage after surgery was 2.0 days and the mean postoperative hospital stay was 7.5 days (range, 4～10 days). The survivals were followed up from 6 to 32 months and all recovered uneventfully. Conclusion: VATS is a safe and effective technique for infant.更多还原