文章摘要
刘锋,莫绪明,邹卫,许栋生,邵 丰.双侧肺大疱同期电视胸腔镜外科治疗53例分析[J].南京医科大学学报,2007,(5):511~514
双侧肺大疱同期电视胸腔镜外科治疗53例分析
Surgical treatment of video-assisted thoracoscopic surgery for bilateral bullous lung disease in one-stage operation of 53 cases
投稿时间:2006-09-11  
DOI:10.7655
中文关键词: 双侧肺大疱  电视胸腔镜  同期手术
英文关键词: bilateral bullous lung deiseas  video-assisted thoracoscopic surgery  one-stage operation
基金项目:
作者单位
刘锋 南京大学医学院附属鼓楼医院心胸外科江苏 南京 210008 
莫绪明 南京医科大学附属儿童医院心胸外科江苏 南京 210008 
邹卫 南京市胸科医院胸外科江苏 南京 210029 
许栋生 南京市胸科医院胸外科江苏 南京 210029 
邵 丰 南京市胸科医院胸外科江苏 南京 210029 
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中文摘要:
      目的:分析总结电视胸腔镜(video-assisted thoracoscopic surgery,VATS)治疗双侧同期肺大疱的经验。方法:53例双侧肺大疱均采用同期VATS手术,其中11 例辅助胸腔镜小切口(video-assisted minithoracotomy,VAMT)。结果:全部治愈,术后平均留置胸腔引流管4.6天,13例术后发生肺水肿、再次气胸及呼吸衰竭等并发症,术后平均住院14.6天,随访1个月至5年。结论:双侧肺大疱采用同期VATS手术是首选治疗方法,较常规双侧肺大疱切除术相比VATS创伤小,住院时间缩短,术后疼痛轻,恢复快。
英文摘要:
      objective:To evaluate the experience of video-assisted thoracoscopic surgery(VATS)for bilateral bullous lung disease in the one-stage operation. Methods:One-stage operation VATS procedures were performed on 53 patients with bilateral ballous lung disease. 11 patients were operated with video-assisted minithoracotomy(VAMT). Results:All patients were cured. The mean duration of chest drainage after surgery was 4.6 days. Postoperative complications occurred in 13 cases,including pulmonary edema,pneumothorax again respiratory failure and so on. The mean postoperative hospital stay was 14.6 days. The patients were followed up 1 month to 5 years. Conclusion:VATS is an effective and preferred method for bilateral bullous lung disease. Advantages of VATS over conventional open techniques for bilateral bullous lung disease include shorter hospital stays, less postoperative pain, and earlier return to work.
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