摘要
Abstract
Objective To explore the operative methods,surgical technique,and clinical value of video-assisted thoracoscopic surgery for mediastinal tumors.Methods The peri-operative conditions of 26 patients (VATS group) with mediastinal tumor treated by video-assisted thoracoscopic surgery from January 2011 to July 2012 were retrospectively analyzed.21 patients undergoing conventional thoracic surgery during the same time whose ages,gender,and tumor sizes matched with the VATS group' s were randomly selected as controls (thoracotomy group).The details of operation for cancer,recovery of patients,complications,follow-up results were observed.Results The operation time was shorter in the VATS group than in the thoracotomy group.There were statistical differences (P ＜ 0.005) in anaesthetic time,operative bleeding volume,postoperative antibiotics consumption,postoperative analgesia time,postoperative tracheal extubation time,postoperative hospital stay,and total inpatient costs between the 2 groups.There was no statistical difference in incidence of postoperative complications between the two groups.In VATS group,the average anaesthetic time was (4.31 ± 1.19) h,the average operative bleeding volume was (65.38 ± 57.71) ml,the average postoperative antibiotics consumption was (2.42 ± 0.70) d,the average postoperative analgesia time was (2.58 ± 0.95) d,the average postoperative tracheal extubation time was (4.04 ± 3.75) d,the average postoperative hospital stay was (6.58 ± 5.78) d,and the average total inpatient cost was (2.69 ± 0.89) ten thousand yuan.After the operation,one case occurred chylothorax,one case had pneumonia,and no case died.Conclusions VATS has advantages of sufficient exposure of surgical fields,safety and reliability,lower bleeding volume,minimal invasiveness,mild pain,little physiology disturbance,fewer complications,short hospitalization time,rapid recovery,small cut and cosmetic results.It can be used as an important program for mediastinal tumors whenever possible.关键词
纵隔肿瘤/胸腔镜/手术Key words
Mediastinal tumors/ Video-assisted thoracoscopic surgery/ Operation
