Video-assisted thoracoscopic surgery (VATS) versus transaxillary minithoracotomy (TAMT) for the treatment of spontaneous pneumothorax

DU Ming; et al

doi:10.13406/j.cnki.cyxb.2003.03.031

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Video-assisted thoracoscopic surgery (VATS) versus transaxillary minithoracotomy (TAMT) for the treatment of spontaneous pneumothorax

更新时间：2024-01-17

- Video-assisted thoracoscopic surgery (VATS) versus transaxillary minithoracotomy (TAMT) for the treatment of spontaneous pneumothorax
- Journal of Chongqing Medical University Issue 3, Pages: 355-357(2003)
- 作者机构：
  
  1. 重庆医科大学临床学院胸心外科
  2. 四川省盐亭县肿瘤研究所
  3. 重庆医科大学临床学院胸心外科,重庆,400016
  4. ,四川,南充,621600
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.03.031
  CLC： R655
- Published：2003，
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[1]杜铭,吴庆琛,刘雄,李良彬,温剑虎,秦治明,葛明建.腋下小切口及胸腔镜外科手术治疗自发性气胸的对比研究[J].重庆医科大学学报,2003(03):355-357.

DU Ming, et al. Video-assisted thoracoscopic surgery (VATS) versus transaxillary minithoracotomy (TAMT) for the treatment of spontaneous pneumothorax. [J]. Journal of Chongqing Medical University (3):355-357(2003)
[1]杜铭,吴庆琛,刘雄,李良彬,温剑虎,秦治明,葛明建.腋下小切口及胸腔镜外科手术治疗自发性气胸的对比研究[J].重庆医科大学学报,2003(03):355-357. DOI： 10.13406/j.cnki.cyxb.2003.03.031.

DU Ming, et al. Video-assisted thoracoscopic surgery (VATS) versus transaxillary minithoracotomy (TAMT) for the treatment of spontaneous pneumothorax. [J]. Journal of Chongqing Medical University (3):355-357(2003) DOI： 10.13406/j.cnki.cyxb.2003.03.031.

摘要

目的 :比较电视胸腔镜手术（VATS）与腋下小切口（TAMT）手术治疗自发性气胸的临床效果。方法 :选择自发性气胸VATS 30例及TAMT治疗 4 3例

随访 2～ 18个月

对手术时间、胸管引流时间、胸管引流量、术后 2 4h停用强止疼药者（% ）、平均住院日、术后并发症等进行分析。结果 :VATS组手术时间、胸管引流时间、平均住院日均较TAMT组明显缩短（P<0 .0 5 ）

胸管引流量较TAMT组明显减少（P <0 .0 5 ）

术后 2 4小时停用强止疼药患者（% ）较TAMT组明显增加（P <0 .0 5 ）。两组均无并发症、死亡及术后复发。结论 :电视胸腔镜手术治疗自发性气胸疗效确切

且创伤小、出血少、疼痛轻、手术时间短、住院时间短

术后恢复快

为自发性气胸外科治疗的首选方法。

Abstract

Objective:To compare the clinical results of video-assisted thoracoscopic surgery (VATS) with transaxillary minithoracotomy (TAMT) for the treatment of spontaneous pneumothorax (SP).Methods:Thirty patients were treated by VATS and 43 by TAMT.The consumed time of the operation

duration of the chest drainage

the amount of the chest drainage

the percentage of the patient without using anodyne within the postoperative 24 hour and the average time of hospitalization were compared.Results:The consumed time of the operation

the duration of the chest drainage and the average time of hospitalization were significantly shorter in group VATS than in group TAMT ( P <0.05).Amount of the chest drainage was dramatically less in group VATS than in group TAMT ( P <0.05).Percentage of patient stopped using anodyne within the postoperative 24 hours was strikingly more increased in group VATS ( P <0.05).Conclusion:VATS is curative and has many advantage

for example:minimal invasion

fewer bleeding

less pain

shorter operating time and hospitalization

quick recovery.We suggest that VATS is first choice for SP.

关键词

自发性气胸外科治疗电视胸腔镜手术腋下小切口手术

Keywords

Spontaneous pneumothoraxOperationVideo-assisted thoracoscopic surgery (VATS)Transaxillary minithoracotomy(TAMT)

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Related Author

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et al

温剑虎

秦治明

葛明建

GE Ming-jian

Related Institution

Department of Thoracic Surgery, College of Clinical Medicine

重庆医科大学第二临床学院胸心外科

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