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目的 :探讨电视胸腔镜辅助小切口切除纵隔肿瘤的方法及其适应症。方法 :总结 1996～ 2 0 0 1年电视胸腔镜辅助小切口切除的 2 2例纵隔肿瘤及囊肿病人资料。其中胸腺瘤 4例 ,畸胎瘤 8例 ,神经源肿瘤 7例 ,支气管囊肿 3例 ,食管及心包囊肿各 1例。结果 :手术均顺利完成 ,有 1例胸腺瘤病人术后 1年复发 ,1例病人术后出血 2次手术 ,其它病人无严重并发症。结论 :辅助小切口的VATS同样具备标准VATS的优点 ,在部分纵隔肿瘤及囊肿病人可完成与传统开胸入路同质量手术。
Objective: To discuss the method and indication of video-assisted thoracoscopic assisted small incision in removing mediastinal tumors. Methods: To summarize the data of 22 patients with mediastinal tumor and cyst excised by video-assisted thoracoscopic assisted small incision from 1996 to 2001. Among them, 4 were thymoma, 8 were teratoma, 7 were neurogenic tumors, 3 were bronchogenic cysts, and 1 was esophageal and pericardial cysts. Results: The operation was successfully completed. One patient had thymoma recurrence one year after operation, one patient had two postoperative bleeding and the other patients had no serious complications. Conclusion: VATS with small incision also has the advantages of standard VATS. In some patients with mediastinal tumors and cysts, the same operation as traditional thoracotomy can be completed.