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目的 探讨应用电视胸腔镜施行小儿肺切除的可行性与手术方法。 方法 本组 11例 ,男 7例 ,女 4例 ,平均年龄 8.9岁 ,其中先天性肺囊肿并发气胸 5例、肺大疱合并气胸 5例、左上肺隔离症 1例。采用单腔插管全身麻醉施行电视胸腔镜肺切除术。 结果 肺楔形切除或部分切除 6例 ,肺叶切除 5例 ,手术时间平均 10 0min ,术后留置胸管和住院时间分别为 2d和 9.2d。术后平均随访 8.4个月 ,无复发。 结论 小儿电视胸腔镜肺切除术安全可行 ,具有良好应用前景
Objective To investigate the feasibility and operation of pediatric pneumonectomy using video-assisted thoracoscopy. Methods The group of 11 patients, 7 males and 4 females, mean age 8.9 years, of which 5 cases of congenital pulmonary cysts complicated pneumothorax, pulmonary blisters with pneumothorax 5 cases, 1 case of left upper pulmonary sequestration. The use of single-lumen intubation general anesthesia for video-assisted thoracoscopic pneumonectomy. Results The wedge resection or partial resection of the lung in 6 cases, lobectomy in 5 cases, the average operation time 10 0min, postoperative indwelling chest tube and hospitalization time were 2d and 9.2d. After an average follow-up of 8.4 months, no recurrence. Conclusion Pediatric video-assisted thoracoscopic pneumonectomy is safe and feasible, and has good application prospect