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

Authors：

 王友于 ¹ , 丛伟 ¹ , 曾富春 ¹ , 薛洋 ¹ , 何彬 ¹ , 张琨 ¹ , 王雪励 ² , 冯刚 ¹

1. ;
2. ;

Corresponding author：

王友于, Email: wangyouyu121@163.com

Keywords：

剑突下入路; 单孔胸腔镜; 自发性气胸

DOI：

10.7507/1007-4848.201604038

Video：

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目的探讨剑突下入路单孔胸腔镜手术治疗自发性气胸的安全性和可行性。方法回顾性分析 2014 年 8 月至 2016 年 1 月间剑突下入路单孔胸腔镜手术治疗自发性气胸 30 例患者的临床资料，其中男 19 例、女 11 例，年龄 16～28（20.5±5.2）岁。结果手术均顺利完成，无中转开胸，无术后出血、漏气等并发症。手术时间（30.5±12.4）min，术中出血量（20.0±10.0）ml，术后胸腔引流管留置时间（1.5±0.8）d，术后住院时间（3.5±0.5）d。术后随访 1 个月，无复发、感染等其他并发症。结论剑突下入路单孔胸腔镜手术治疗自发性气胸安全、可行。

Citation： 王友于, 丛伟, 曾富春, 薛洋, 何彬, 张琨, 王雪励, 冯刚. . 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. 刘伦旭, 周清华, 陈桂枝, 等. 青年自发性气胸、血气胸的临床分析. 中国胸心血管外科临床杂志, 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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