<trans-title xml:lang="en"/>_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 王友于 ¹ , 叢偉 ¹ , 曾富春 ¹ , 薛洋 ¹ , 何彬 ¹ , 張琨 ¹ , 王雪勵 ² , 馮剛 ¹

1. ;
2. ;

Corresponding?author：

王友于, Email: wangyouyu121@163.com

Keywords：

劍突下入路; 單孔胸腔鏡; 自發性氣胸

DOI：

10.7507/1007-4848.201604038

Video：

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目的探討劍突下入路單孔胸腔鏡手術治療自發性氣胸的安全性和可行性。方法回顧性分析 2014 年 8 月至 2016 年 1 月間劍突下入路單孔胸腔鏡手術治療自發性氣胸 30 例患者的臨床資料，其中男 19 例、女 11 例，年齡 16～28（20.5±5.2）歲。結果手術均順利完成，無中轉開胸，無術后出血、漏氣等并發癥。手術時間（30.5±12.4）min，術中出血量（20.0±10.0）ml，術后胸腔引流管留置時間（1.5±0.8）d，術后住院時間（3.5±0.5）d。術后隨訪 1 個月，無復發、感染等其他并發癥。結論劍突下入路單孔胸腔鏡手術治療自發性氣胸安全、可行。

Citation： 王友于, 叢偉, 曾富春, 薛洋, 何彬, 張琨, 王雪勵, 馮剛. . Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(2): 156-158. doi: 10.7507/1007-4848.201604038 Copy

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1. ?劉倫旭, 周清華, 陳桂枝, 等. 青年自發性氣胸、血氣胸的臨床分析. 中國胸心血管外科臨床雜志, 2001, 8(2): 136-137.
2. Kehlet HH, Jensen TT, Woolf CC. Persistent postsurgical pain: risk factors and prevention. Lancet, 2006, 367(9522): 1618-1625.
3. Rocco GG, Martin-ucar AA, Passera EE. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg, 2004, 77(2): 726-728.
4. Liu YY, Wu YY, Yeh CC, et al. Natural orifice transluminal endoscopic surgery: a transtracheal approach for the thoracic cavity in a live canine model. J Thorac Cardiovasc Surg, 2011, 141(5): 1223-1230.
5. Liberman MM, Labos CC, Sampalis JJ, et al. Ten-year surgical experience with nontraumatic pericardial effusions: a comparison between the subxyphoid and transthoracic approaches to pericardial window. Arch Surg, 2005, 140(2): 191-195.
6. Yilmaz A, Van Putte BP, Van Boven WJ. Closed chest lobectomy with subxyphoid retraction. Interact Cardiovasc Thorac Surg, 2011, 13(6): 549-551.
7. Suda T, Ashikari S, Tochii S, et al. Single-incision subxiphoid approach for bilateral metastasectomy. Ann Thorac Surg, 2014, 97(2): 718-719.
8. Liu CC, Wang BY, Shih CS, et al. Subxiphoid single-incision thoracoscopic left upper lobectomy. J Thorac Cardiovasc Surg, 2014, 148(6): 3250-3251.
9. Gonzalez-Rivas D. Recent advances in uniportal video-assisted thoracoscopic surgery. Chin J Cancer Res, 2015, 27(1): 90-93.
10. Wang BY, Chang YC, Chang YC, et al. Thoracoscopic surgery via a single-incision subxiphoid approach is associated with less postoperative pain than single-incision transthoracic or three-incision transthoracic approaches for spontaneous pneumothorax. J Thorac Dis, 2016, 8(Suppl 3): S272-S278.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

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