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目的探讨市级医院开展胸腔镜微创技术治疗胸部疾病的安全性、可行性及学习曲线。方法回顾性分析2009年9月至2016年9月四川省内江市第一人民医院胸外科行胸腔镜手术591例患者的临床资料,男378例、女213例,年龄14~82岁。结果所有患者均顺利完成手术,其中中转开胸12例,中转率2.0%;术后共出现严重并发症24例(4.1%);围手术期死亡4例,死亡率0.7%。胸腔镜肺癌根治术学习曲线约为25例,胸腹腔镜联合食管癌根治术学习曲线约为15例。结论市级医院开展胸腔镜微创技术安全、可行,有推广价值。
Objective To investigate the safety, feasibility and learning curve of thoracoscope minimally invasive treatment of chest diseases in municipal hospitals. Methods The clinical data of 591 patients undergoing thoracoscopic surgery at the First People’s Hospital of Neijiang City, Neijiang City, Sichuan Province from September 2009 to September 2016 were retrospectively analyzed. There were 378 males and 213 females, aged 14-82 years. Results All the patients underwent successful operation. Among them, 12 cases were transferred to the thoracotomy and the conversion rate was 2.0%. There were 24 cases (4.1%) with serious complications after operation. Perioperative mortality was 4 and the mortality rate was 0.7%. The learning curve of thoracoscopic lung cancer radical operation was about 25 cases, and the learning curve of thoracoscopic laparoscopy combined with esophageal cancer radical operation was about 15 cases. Conclusions The thoracoscope minimally invasive technique in municipal hospitals is safe, feasible and worth promoting.