重庆医学2018，Vol.47Issue(4)：480-481,485,3.DOI:10.3969/j.issn.1671-8348.2018.04.014
非气管插管保留自主呼吸麻醉下单孔胸腔镜技术的临床应用
Clinical applicafion of non-intubated uniportal video-assisted thoracoscopic surgery with spontaneous respiration
史经伟 1杨如松 2邵丰 2孙杨 2江山3
作者信息
- 1. 东南大学医学院,南京210029
- 2. 东南大学医学院附属南京胸科医院胸外科,南京210029
- 3. 东南大学医学院附属南京胸科医院麻醉科,南京210029
- 折叠
摘要
Abstract
Objective To explore the feasibility and safety of uniportal video-assisted thoracoscopic surgery under non-intubated anesthesia with spontaneous respiration.Methods The clinical data in 35 cases of uniportal video-assisted thoracoscopic surgery under non-intubated anesthesia with spontaneous respiration implemented by same doctor and team in the Affiliated Nanjing Chest Hospital of Medical College,Southeast University from June 2016 to January 2017 were retrospectively analyzed.Results The operations were successfully completed in 35 cases,including 23 cases of lung bullae resection,6 cases of lung wedge resection,5 cases of pulmonary lobectomy and lymph nodes clearance,and 1 case of bilateral sympathectomy.The operative time was 20-106min,average(38.79 ± 26.45) min,intraoperative bleeding volume was 20-350 mL,average(57.14 ± 56.50) mL.No perioperative serious complications or death occurred.Conclusion Uniportal video-assisted thoracoscopic surgery technique under non-intubated anesthesia with spontaneous respiration is safe and feasible,and can be selectively used in partial patients.关键词
外科手术,微创/单孔胸腔镜/非气管插管/保留自主呼吸Key words
surgical procedures,minimally invasive/single-hole thoracoscopy/nontracheal intubation/retention of spontaneous respiration分类
医药卫生引用本文复制引用
史经伟,杨如松,邵丰,孙杨,江山..非气管插管保留自主呼吸麻醉下单孔胸腔镜技术的临床应用[J].重庆医学,2018,47(4):480-481,485,3.
