国际医药卫生导报2017，Vol.23Issue(9)：1346-1349,4.DOI:10.3760/cma.j.issn.1007-1245.2017.09.018
经剑突下人工气胸辅助胸腔镜手术治疗胸腺疾病
Artificial pneumothorax assisted subxiphoid video assisted thoracic surgery for disease of thymus gland
庞文广 1黄凤柳 2叶敏 1庞景灼1
作者信息
- 1. 529030 江门市中心医院胸外科
- 2. 529030 江门市中心医院呼吸内科
- 折叠
摘要
Abstract
Objective To explore the safety,effect and complication of artificial pneumothorax assisted subxiphoid video assisted thoracic surgery (VATS) for disease of thymus gland.Methods The clinical data of 12 cases treated with artificial pneumothorax assisted subxiphoid video assisted thoracic surgery at our hospital were retrospective analyzed.The intraoperative and postoperative effects and complications were observed.All patients were followed up for at least half year.Results The operation time was 50-120 min [(82.0±:15.2)min].The bleeding volume during operation was 10-100 ml [(38.3±13.2) ml].The hospitalization time was 4-6 d [(4.2±0.9) d].No conversion to open surgery was required and no perioperative death occurred in this study.No complication of phrenic nerve damage,pleural effusion,atelectasis,and bronchopleural fistula occurred in this study.6 cases with myasthenia gravis did not occurred myasthenia crisis after operation and the symptoms of myasthenia gravis were alleviated (3 cases were complete remission and 3 cases partial remission).They followed up more than half years,no tumor recurrence and metastasis were found.Conclusions Artificial pneumothorax assisted subxiphoid video assisted thoracic surgery for disease of thymus gland is significantly effective and easy to perform and has few complications and incision with good cosmesis,so it is worth being clinically generalized.关键词
人工气胸/剑突下/胸腔镜/胸腺/微创Key words
Artificial pneumothorax/Subxiphoid/VATS/Thymus gland/Minimally invasive引用本文复制引用
庞文广,黄凤柳,叶敏,庞景灼..经剑突下人工气胸辅助胸腔镜手术治疗胸腺疾病[J].国际医药卫生导报,2017,23(9):1346-1349,4.
