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| 单孔胸腔镜下肺结节及前纵隔肿物同期手术切除的临床应用与分析 |
| Simultaneous Uniportal Video-Assisted Thoracoscopic Surgery for Combined Pulmonary Nodule Resection and Anterior Mediastinal Tumor Excision: Clinical Applications and Outcomes Analysis |
| 投稿时间：2025-10-09 修订日期：2025-11-27 |
| DOI： |
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| 中文关键词: 单孔胸腔镜 同期手术切除 肺结节 前纵隔肿物 |
| 英文关键词:Uniportal video-assisted thoracoscopic surgery Combined surgical procedures Pulmonary nodule Anterior mediastinal mass |
| 基金项目:2022年宁波市领军拔尖人才培养工程第二层次(2022LJBJRC001)；“中国青年医学创新研究科研课题”项目(第五期) |
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| 中文摘要: |
| 摘要
目的：探讨单孔胸腔镜下肺结节和前纵隔肿物同期手术切除的安全性和可行性。
方法：回顾性纳入2019年11月到2024年9月共13例在我院胸外科进行单孔胸腔镜下肺结节和前纵隔肿物同期手术切除的患者，收集并分析患者临床资料。
结果：本研究所有患者手术均在单孔胸腔镜下顺利完成，术中均未增加手术切口或中转开胸。平均手术时间为136.9±29.4 min，术中出血量为26.9±11.0 ml，术后胸腔引流量为311.2±205.9 ml，术后胸管留置时间为3.8±1.2 d，术后住院时间为5.6±1.6 d。1例患者术后出现乳糜胸，余患者术后均恢复顺利，无手术相关并发症。
结论：单孔胸腔镜下肺结节和前纵隔肿物同期切除术是一种安全可行的手术方式，使患者避免二次手术带来的创伤，具有良好的临床应用前景。 |
| 英文摘要: |
| Abstract
Objective: To investigate the safety and feasibility of simultaneous uniportal video-assisted thoracoscopic surgery (VATS) for the resection of pulmonary nodules and anterior mediastinal tumors.
Methods: We retrospectively analyzed 13 patients who underwent simultaneous uniportal VATS resection of both pulmonary nodules and anterior mediastinal tumors in the Department of Thoracic Surgery at our hospital between November 2019 and September 2024. Clinical data were collected and analyzed.
Results: All procedures were successfully completed under uniportal VATS without requiring additional ports, intraoperative repositioning, or conversion to thoracotomy. The mean operative time was 136.9 ± 29.4 min, with an estimated blood loss of 26.9 ± 11.0 mL. The total postoperative drainage volume was 311.2 ± 205.9 mL, and the mean duration of chest tube placement was 3.8 ± 1.2 days. The average postoperative hospital stay was 5.6 ± 1.6 days. One patient developed postoperative chylothorax, while the remaining patients recovered uneventfully without any surgery-related complications.
Conclusion: Simultaneous uniportal VATS resection of pulmonary nodules and anterior mediastinal tumors is a safe and feasible surgical approach. This technique avoids the trauma associated with secondary surgery and demonstrates promising potential for clinical application. |
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