单孔胸腔镜下常规手术器械替代一次性手术器械对肺癌肺叶切除术的临床分析_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

陈雅 , 杨继琛 , 饶孙银 ,  叶联华 , 黄云超

昆明医科大学第三附属医院云南省肿瘤医院胸外一科（昆明 650118）;

Corresponding author：

叶联华, Email: lhye1204@aliyun.com

Keywords：

单孔胸腔镜; 非小细胞肺癌; 一次性手术器械; 常规手术器械

DOI：

10.7507/1007-4848.201810045

Video：

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目的探讨单孔胸腔镜下常规手术器械替代一次性手术器械对肺癌肺叶切除术近期临床疗效及治疗费用差异。方法前瞻性纳入 2017 年 10 月至 2018 年 6 月云南省肿瘤医院胸外一科Ⅰa～Ⅲa 期非小细胞肺癌患者 44 例。患者按手术方式不同分为一次性器械组 24 例［A 组，对照组，男 10 例、女 14 例，平均年龄 53.8（30～77）岁］和常规器械替代组 20 例［B 组，试验组，男 9 例、女 11 例，平均年龄 53.6（35～70）岁］。比较两组临床效果。结果两组手术均顺利完成，两组术中出血量、术后引流管引流量、术后胸腔引流管留置时间、术后住院时间、并发症发生情况差异无统计学意义（P>0.05）。A 组手术时间和住院总费用分别为（57.29±7.52）min 和（52 830.79±6 621.71）元，B 组手术时间和住院总费用分别为（79.00±9.81）min 和（29 565.90±2 734.25）元，两组差异有统计学意义（P<0.05）。结论单孔胸腔镜下常规手术器械替代一次性器械在肺癌肺叶切除术中安全可行，且大大降低了患者住院总费用。

Citation： 陈雅, 杨继琛, 饶孙银, 叶联华, 黄云超. 单孔胸腔镜下常规手术器械替代一次性手术器械对肺癌肺叶切除术的临床分析. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(8): 829-831. doi: 10.7507/1007-4848.201810045 Copy

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1. Guerrero WG, González-Rivas D. Multiportal video-assisted thoracic surgery, uniportal video-assisted thoracic surgery and minimally invasive open chest surgery-selection criteria. J Vis Surg, 2017, 3: 56.
2. Mineo TC, Ambrogi V. A glance at the history of uniportal video-assisted thoracic surgery. J Vis Surg, 2017, 3: 157.
3. Yu PS, Capili F, Ng CS. Single port VATS: recent developments in Asia. J Thorac Dis, 2016, 8(Suppl 3): S302-S307.
4. Hirji SA, Balderson SS, D'Amico TA. Uniportal lobectomy and segmentectomy-is it for all? J Vis Surg, 2017, 3: 180.
5. Özyurtkan MO, Kaba E, Toker A. Technological innovation in video-assisted thoracic surgery. J Vis Surg, 2017, 3: 20.
6. Roque Cañas SR, Oviedo Argueta AJ, Wu CF, et al. Technological aids in uniportal video-assisted thoracoscopic surgery. J Vis Surg, 2017, 3: 29.
7. Li Z, Ng CS. Future of uniportal video-assisted thoracoscopic surgery-emerging technology. Ann Cardiothorac Surg, 2016, 5(2): 127-132.
8. 车国卫, 刘伦旭. 单孔电视胸腔镜手术临床应用的现状与进展. 中国胸心血管外科临床杂志, 2012, 19(2): 181-184.
9. Gonzalez D, Delgado M, Paradela M, et al. Uni-incisional video-assisted thoracoscopic left lower lobectomy in a patient with an incomplete fissure. Innovations (Phila), 2011, 6(1): 45-47.
10. Bertolaccini L, Rocco G, Viti A, et al. Geometrical characteristics of uniportal VATS. J Thorac Dis, 2013, 5(Suppl 3): S214-S216.
11. Bertolaccini L, Rocco G, Pardolesi A, et al. The geometric and ergonomic appeal of uniportal video-assisted thoracic surgery. Thorac Surg Clin, 2017, 27(4): 331-338.
12. Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28(1): 43-46.

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单孔胸腔镜下常规手术器械替代一次性手术器械对肺癌肺叶切除术的临床分析

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