單孔胸腔鏡下常規手術器械替代一次性手術器械對肺癌肺葉切除術的臨床分析_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

陳雅 , 楊繼琛 , 饒孫銀 ,  葉聯華 , 黃云超

昆明醫科大學第三附屬醫院云南省腫瘤醫院胸外一科（昆明 650118）;

Corresponding?author：

葉聯華, Email: lhye1204@aliyun.com

Keywords：

單孔胸腔鏡; 非小細胞肺癌; 一次性手術器械; 常規手術器械

DOI：

10.7507/1007-4848.201810045

Video：

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目的探討單孔胸腔鏡下常規手術器械替代一次性手術器械對肺癌肺葉切除術近期臨床療效及治療費用差異。方法前瞻性納入 2017 年 10 月至 2018 年 6 月云南省腫瘤醫院胸外一科Ⅰa～Ⅲa 期非小細胞肺癌患者 44 例。患者按手術方式不同分為一次性器械組 24 例［A 組，對照組，男 10 例、女 14 例，平均年齡 53.8（30～77）歲］和常規器械替代組 20 例［B 組，試驗組，男 9 例、女 11 例，平均年齡 53.6（35～70）歲］。比較兩組臨床效果。結果兩組手術均順利完成，兩組術中出血量、術后引流管引流量、術后胸腔引流管留置時間、術后住院時間、并發癥發生情況差異無統計學意義（P>0.05）。A 組手術時間和住院總費用分別為（57.29±7.52）min 和（52 830.79±6 621.71）元，B 組手術時間和住院總費用分別為（79.00±9.81）min 和（29 565.90±2 734.25）元，兩組差異有統計學意義（P<0.05）。結論單孔胸腔鏡下常規手術器械替代一次性器械在肺癌肺葉切除術中安全可行，且大大降低了患者住院總費用。

Citation： 陳雅, 楊繼琛, 饒孫銀, 葉聯華, 黃云超. 單孔胸腔鏡下常規手術器械替代一次性手術器械對肺癌肺葉切除術的臨床分析. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(8): 829-831. doi: 10.7507/1007-4848.201810045 Copy

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9.	Gonzalez D, Delgado M, Paradela M, et al. Uni-incisional video-assisted thoracoscopic left lower lobectomy in a patient with an incomplete fissure. Innovations (Phila), 2011, 6(1): 45-47.
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11.	Bertolaccini L, Rocco G, Pardolesi A, et al. The geometric and ergonomic appeal of uniportal video-assisted thoracic surgery. Thorac Surg Clin, 2017, 27(4): 331-338.
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1. Guerrero WG, González-Rivas D. Multiportal video-assisted thoracic surgery, uniportal video-assisted thoracic surgery and minimally invasive open chest surgery-selection criteria. J Vis Surg, 2017, 3: 56.
2. Mineo TC, Ambrogi V. A glance at the history of uniportal video-assisted thoracic surgery. J Vis Surg, 2017, 3: 157.
3. Yu PS, Capili F, Ng CS. Single port VATS: recent developments in Asia. J Thorac Dis, 2016, 8(Suppl 3): S302-S307.
4. Hirji SA, Balderson SS, D'Amico TA. Uniportal lobectomy and segmentectomy-is it for all? J Vis Surg, 2017, 3: 180.
5. ?zyurtkan MO, Kaba E, Toker A. Technological innovation in video-assisted thoracic surgery. J Vis Surg, 2017, 3: 20.
6. Roque Ca?as SR, Oviedo Argueta AJ, Wu CF, et al. Technological aids in uniportal video-assisted thoracoscopic surgery. J Vis Surg, 2017, 3: 29.
7. Li Z, Ng CS. Future of uniportal video-assisted thoracoscopic surgery-emerging technology. Ann Cardiothorac Surg, 2016, 5(2): 127-132.
8. 車國衛, 劉倫旭. 單孔電視胸腔鏡手術臨床應用的現狀與進展. 中國胸心血管外科臨床雜志, 2012, 19(2): 181-184.
9. Gonzalez D, Delgado M, Paradela M, et al. Uni-incisional video-assisted thoracoscopic left lower lobectomy in a patient with an incomplete fissure. Innovations (Phila), 2011, 6(1): 45-47.
10. Bertolaccini L, Rocco G, Viti A, et al. Geometrical characteristics of uniportal VATS. J Thorac Dis, 2013, 5(Suppl 3): S214-S216.
11. Bertolaccini L, Rocco G, Pardolesi A, et al. The geometric and ergonomic appeal of uniportal video-assisted thoracic surgery. Thorac Surg Clin, 2017, 27(4): 331-338.
12. Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28(1): 43-46.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

單孔胸腔鏡下常規手術器械替代一次性手術器械對肺癌肺葉切除術的臨床分析

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