摘要
Abstract
Objective To compare the clinical application of video-assisted thoracoscopic surgery with conventional open surgery in treatment of primary mediastinal tumors.Methods The clinical data of 21 4 patients with primary mediasti-nal tumors were analyzed,including 1 08 cases of thymic tumors,29 cases of neurogenic tumors,26 cases of germ cell tumors,20 cases of bronchogenic cysts,1 5 cases of mesenchymal tumors,1 1 cases of intrathoracic tumors of ectopic tis-sue,2 cases of lymphoma,2 cases of Castleman's disease and 1 case of malignant fibrous tumor of diaphragm.Among 21 4 cases,84 underwent video-assisted thoracoscopic surgery (VATS)and 1 30 cases underwent conventional open surgery.Re-sults There were no significant differences in age,gender and operation time between two groups (all P>0.05 ),while the volume of postoperative chest drainage in VAST group was less [(677.68 ±1 02.26)mL vs (723.69 ±1 24.48)mL, P=0.005]and tumor length [(5.35 ±1 .75)cm vs (8.61 ±3.91 )cm,P=0.000]was shorter than that of conventional group.Conclusion VATS is feasible for primary mediastinal tumors,however,traditional open surgical resection is pre-ferred when the primary mediastinal tumors have large size or complicated invasion.关键词
纵隔肿瘤/外科学/胸腔镜/对比研究Key words
mediastinal neoplasms/surgery/thoracoscopy/comp study分类
医药卫生
