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电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用

BACKGROUND AND OBJECTIVE: The surgical resection for pancoast tumors remains challenging. There are only few reports explaining the use of VATS in the treatment of Pancoast tumors. The aim of this study is to assess whether the use of video-assisted thoracoscopic surgery (VATS) for the surgical trea...

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Formato: Online Artículo Texto
Lenguaje:English
Publicado: 中国肺癌杂志编辑部 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000312/
https://www.ncbi.nlm.nih.gov/pubmed/26582226
http://dx.doi.org/10.3779/j.issn.1009-3419.2015.11.07
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description BACKGROUND AND OBJECTIVE: The surgical resection for pancoast tumors remains challenging. There are only few reports explaining the use of VATS in the treatment of Pancoast tumors. The aim of this study is to assess whether the use of video-assisted thoracoscopic surgery (VATS) for the surgical treatment of Pancoast tumors was feasible and safe. METHODS: Between Janunary 2010 and June 2013, ten patients who were diagnosed as Pancoast tumors were recruited. Six patients were accepted for surgical treatment either through an anterior (n=3) or a posterior approach (n=3) combined with VATS. The observation index of this study included: Operation safety and mortality; The integrity of the tumor resection; General data of operation and postoperative complications; Tumor recurrence and metastasis at twelve months after operation. RESULTS: There were no perioperative deaths. The average time of operation time was 242 min. The radical en bloc resection of the involved chest wall were done in each patients. The average amount of blood loss was 308 mL and the average time of hospital stay was 14 d. Only one patient had postoperative pneumonia and recovered after use of antibiotics. There was none of severe postoperative complications. No patient developed a local recurrence or distant metastasis within twelve months. CONCLUSIONS: The use of VATS has practical value in the management of Pancoast tumors. It is useful to make an accurate extent of the resection of chest-wall and provides a better exposure. Anterior or posterior approach with VATS surgery can facilitate the safety management of Pancoast tumors.
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spelling pubmed-60003122018-07-06 电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用 Zhongguo Fei Ai Za Zhi 临床经验 BACKGROUND AND OBJECTIVE: The surgical resection for pancoast tumors remains challenging. There are only few reports explaining the use of VATS in the treatment of Pancoast tumors. The aim of this study is to assess whether the use of video-assisted thoracoscopic surgery (VATS) for the surgical treatment of Pancoast tumors was feasible and safe. METHODS: Between Janunary 2010 and June 2013, ten patients who were diagnosed as Pancoast tumors were recruited. Six patients were accepted for surgical treatment either through an anterior (n=3) or a posterior approach (n=3) combined with VATS. The observation index of this study included: Operation safety and mortality; The integrity of the tumor resection; General data of operation and postoperative complications; Tumor recurrence and metastasis at twelve months after operation. RESULTS: There were no perioperative deaths. The average time of operation time was 242 min. The radical en bloc resection of the involved chest wall were done in each patients. The average amount of blood loss was 308 mL and the average time of hospital stay was 14 d. Only one patient had postoperative pneumonia and recovered after use of antibiotics. There was none of severe postoperative complications. No patient developed a local recurrence or distant metastasis within twelve months. CONCLUSIONS: The use of VATS has practical value in the management of Pancoast tumors. It is useful to make an accurate extent of the resection of chest-wall and provides a better exposure. Anterior or posterior approach with VATS surgery can facilitate the safety management of Pancoast tumors. 中国肺癌杂志编辑部 2015-11-20 /pmc/articles/PMC6000312/ /pubmed/26582226 http://dx.doi.org/10.3779/j.issn.1009-3419.2015.11.07 Text en 版权所有©《中国肺癌杂志》编辑部2015 https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 3.0) License. See: https://creativecommons.org/licenses/by/3.0/
spellingShingle 临床经验
电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
title 电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
title_full 电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
title_fullStr 电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
title_full_unstemmed 电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
title_short 电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
title_sort 电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
topic 临床经验
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000312/
https://www.ncbi.nlm.nih.gov/pubmed/26582226
http://dx.doi.org/10.3779/j.issn.1009-3419.2015.11.07
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