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电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS),又称胸腔镜,近年来广泛应用于胸外科,由于其创伤小、恢复快,未增加手术、麻醉时间,已成为手术治疗气胸的首选手段[1]。气胸首次行VATS手术,效果肯定,但术后有一定复发率[2]。对VATS术后复发气胸的再次VATS手术存在VATS入路选择、致密粘连的松解、是否行胸膜固定以及胸引管位置等问题,均对二次VATS手术的适应证选择、疗效等产生影响。我科于2010年1月至2014年5月对23例
Video-assisted thoracoscopic surgery (VATS), also known as thoracoscopy, has been widely used in thoracic surgery in recent years. Due to its small trauma and quick recovery, VATS has not become the first choice for surgical treatment of pneumothorax [1]. Pneumothorax VATS surgery for the first time, the effect is positive, but after a certain relapse rate [2]. VATS surgery for VATS after VATS surgery there are VATS options, densification of tight adhesions, whether the line of pleural fixation and the location of the chest tube, both of the VATS surgery indications selection, efficacy and so on. Our department from January 2010 to May 2014 on 23 cases