电视胸腔镜手术治疗胸腺疾病

【摘要】  目的  探讨电视胸腔镜手术治疗胸腺疾病的疗效。方法  自1996年4月～2004年10月，我院胸腔镜手术治疗胸腺瘤和胸腺伴随综合征(重症肌无力或单纯红细胞再生障碍性贫血)15例。术后病理为良、恶性胸腺瘤和畸胎瘤。结果  手术时间平均为136min，术中平均出血50ml，术后平均放置胸管时间48h，平均住院时间5天，平均随诊2.7年，无肿瘤复发。结论  胸腔镜治疗胸腺瘤和重症肌无力的短期随诊疗效满意。

    【关键词】  胸腺切除术  胸腔镜  胸腺瘤

    Video-assisted thoracoscopic management of thymic disease

   

    【Abstract】  Objective  To explore the efficacy on video assisted thoracosopic management of thymic disease.Methods  15 patients with thymomas or/and paraneoplastic syndromes，including myasthenia gravis(MG) or pure red cell aplasia，treated with video-assisted thoracoscopic surgery were reviewed in our hospital from Apirl 1996 to October 2004.Their tumor pathologies included benign or malignant thymoma and teratoma.Results  The mean opeation time was 136 minutes.The mean blood loss was 50ml.The mean insertion time of chest tubes was 48 hours.The mean admission time was 5 days.No tumor recurrence has been seen durging the mean follow-up of 2.7 years.Conclusion  The short-term results support the feasibility of VATS in managing thymoma and MG.

    【Key words】  thymectomy  VATS  thymoma

    切除胸腺的术式较多，在我国也已开展多种胸腔镜胸腺切除术式，现介绍我院率先开展的加颈

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