浙江医学2016，Vol.38Issue(15)：1277-1279,3.
单操作孔胸腔镜手术在肺部结节病变患者中的应用价值探讨
Uniportal video-assisted thoracoscopic surgery for pulmonary nodular lesions
摘要
Abstract
Objective To assess the safety and efficacy of uniportal video- assisted thoracoscopic surgery (UVATS) for pulmonary nodular lesions. Methods Seventy six patients with pulmonary nodular lesions received UVATS and dissection of systematic lymph nodes based on the results of frozen pathology From July 2010 to May 2015. Results Among 76 patients, 58 underwent lung segmentectomy, 18 underwent lung lobeectomy, 26 received dissection of systematic lymph nodes. The operation time was (58.7±21.3) minutes, the intraoperative blood loss was (35.2±14.5) ml, the volume of drainage was 260± 150)ml, the VAS score was (2.3±0.9), and the postoperative hospital stay was (6.8±2.3) days. The VAS scores were significantly lower than those in the control group (three ports VATS) (P<0.01), while there were no differences in the volume of drainage, the operation time and the blood loss between two groups (both P>0.05). Al the patients achieved postoperative recovery and no severe complication occurred. Al the patients in this study were followed up regularly for an average of 33.1 months and there was no recurrence. Conclusion The UVATS is a safe and feasible method in the treatment of pulmonary nodular lesions and dissection of systematic lymph nodes, and with the advantages of lower morbidity and rapid postoperative recovery.关键词
胸腔镜/肺部结节病变/单操作孔Key words
Video- assisted thoracoscopic surgery/Pulminary nodular diseases/Uniport引用本文复制引用
陈巍,李文涛,杨泽山,张继琛,郑森中,陈阳,李安安,周燕飞..单操作孔胸腔镜手术在肺部结节病变患者中的应用价值探讨[J].浙江医学,2016,38(15):1277-1279,3.基金项目
浙江省台州市黄岩区科技局基金 （）
