摘要目的 探讨经剑突下径路电视胸腔镜肺大疱切除的手术方法,分析其利弊及用于其他手术的可行性.方法 27例经剑突下径路肺大疱切除修补及胸膜固定术,男26例,女1例;年龄17～ 45岁,平均21岁.包括20例单侧,7例双侧同期同切口;切口长2.5～3.0 cm.结果 27例手术均顺利完成,手术效果良好,无围手术期死亡及并发症.结论 剑突下径路胸腔镜肺大疱切除术尤其适用于双侧肺大疱切除术.患者术后疼痛轻微,对深呼吸及咳嗽动作无影响.随着手术技术及腔镜医疗器械的不断改进,严格手术适应证,该术式将成为常规手术方法并拓展到其他更为复杂的胸部手术.

abstractsObjective To investigate the pros and cons of video-assistant thoracic surgery (VATS) usings subxiphoid route for the treatment of primary spontaneous pneumothorax (PSP) and possiblity for other operation.Methods Uniport VATS using subxiphoid route successfully for 27 patients diagnosed as PSP,including 20 unilateral and 7 bilateral.Results The procedure and postoperative recovery was uneventful,postoperative complications or death was not observed.Conclusion Compared with the traditional VATS surgery,the subxiphoid route only needs one single small incision with the length of 2.5-3.0 cm.Postoperative pain and affect on deep breath and cough was notably reduced.VATS using subxiphoid route could be applied to other thoracic operation with improved surgical technique and instrument.