The clinical analysis of single operation hole for thorascopic surgery in treatment of encapsulated effusion with atelectasis after thoracic injury for 56 cases
10.3760/cma.j.issn.1673-4904.2014.32.006
- VernacularTitle:单操作孔胸腔镜手术治疗胸部外伤后包裹性胸腔积液伴肺不张56例临床分析
- Author:
Xuesong DING
;
Nan LUO
;
Xia ZHAO
- Publication Type:Journal Article
- Keywords:
Thorascopic surgery;
Encapsulated effusion;
Atelectasis;
Thoracic injury
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(32):15-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical methods and clinical applications of single operation hole for thorascopic surgery in treatment of encapsulated effusion with atelectasis after thoracic injury.Methods From October 2011 to October 2013,using single operation hole for thorascopic surgery treating encapsulated effusion with atelectasis in 56 cases after thoracic injury,35 males and 21 females,aged 21-68,mean 34 years old.The left encapsulated effusion with atelectasis in 31 cases,the right of encapsulated effusion with atelectasis in 25 cases,atelectasis in 43 cases,partial atelectasis in 9 cases,total atelectasis in 4 cases.Before thorascopic surgery,routine thoracentesis or (and) closed thoracic drainage were performed,but ineffective.Surgical approach for anesthesia with the thorascopic surgery encapsulated effusion dissection + suction drum lung surgery.Thorascopic surgery were completed in single operation hole,postoperative chest tube into the hole from observation.Results The operation time was 55-120 min,average 75 min; blood loss was 25-150 ml,average 65 ml.All patients underwent in single operation hole.The postoperative hospital stay was 7-19 d,average 11.2 d.There were no perioperative mortality and major complications.Conclusions The single operation hole for thorascopic surgery in treatment of encapsulated effusion with atelectasis after thoracic injury is exactly effective and simple.It can be used as an effective treatment.
