摘要
目的探讨使用自主研发的磁锚定装置代替普通腔镜抓钳,辅助胸腔镜肺切除手术的临床应用效果。方法回顾性分析2019年3月至2019年5月在西安交通大学第一附属医院胸外科接受磁锚定技术辅助胸腔镜肺切除手术的11例患者的临床资料。统计其手术时间、出血量、输血量、术后住院时间、术后并发症等。结果 11例患者中,男性7例,女性4例,年龄(51.6±13.9)岁(22~69岁)。3例为单孔胸腔镜手术,8例为单操作孔胸腔镜手术。所有患者均能在磁锚定辅助下取得良好的术野暴露。其中,因肺门淋巴结肿大、黏连,1例中转开胸手术,1例转为3孔法手术。手术时间(107.8±63.1)min(27~182 min),术中出血量50(10~50)mL(5~1 000 mL),术中无输血,术后住院时间(5.0±1.8)d(3~9 d),无并发症发生。结论磁锚定技术能够有效缓解胸腔镜手术的"筷子效应",采用磁锚定技术辅助胸腔镜肺切除手术安全可行。
Objective To investigate the clinical application of self-developed magnetic anchoring device for assisting thoracoscopic pulmonary resection.Methods Eleven patients underwent thoracoscopic pulmonary assisted with resection magnetic anchoring technique at the Department of Thoracic Surgery,The First Affiliated Hospital of Xi’an Jiaotong University,from March to May 2019.Their clinical data were retrospectively analyzed.The operation time,blood loss,blood transfusion volume,postoperative hospital stay,and postoperative complications were recorded.Results There were seven male and four female patients,with the average age of(51.6±13.9)years(range from 22 to 69 years).Three single-port and eight single-utility-port thoracoscopic surgeries were performed.Magnetic instruments provided good surgical field exposure in all operations.Among 11 surgeries,one was converted to thoracotomy and one to three-hole surgery due to enlargement and adhesion of hilar lymph nodes.The operation time was(107.8±63.1)minutes(range of 27-182 minutes).The blood loss was 50(10-50)mL(range of 5-1 000 mL).No blood transfusion was needed during the operation.The postoperative hospital stay was(5.0±1.8)days(range of 3-9 days).No postoperative complications occurred in all the patients.Conclusion Magnetic anchor technique can effectively alleviate the"chopstick effect"in thoracoscopic surgery.Magnetic anchor technique is safe and feasible in assisting thoracoscopic pulmonary resection.
作者
严小鹏
李益行
刘培楠
张涵芷
陈南征
张佳
杨心刚
黄晓龙
王治东
游江涛
李双燕
史爱华
马锋
付军科
吕毅
张勇
YAN Xiaopeng;LI Yixing;LIU Peinan;ZHANG Hanzhi;CHEN Nanzheng;ZHANG Jia;YANG Xingang;HUANG Xiaolong;WANG Zhidong;YOU Jiangtao;LI Shuangyan;SHI Aihua;MA Feng;FU Junke;Lü Yi;ZHANG Yong(Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061;Qide College,Xi’an Jiaotong University,Xi’an 710061;Department of Thoracic Surgery,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061;Department of General Surgery,Hejin People’s Hospital,Yuncheng 043300;Department of Thoracic Surgery,Chang’an District Hospital,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710118;National Local Joint Engineering Research Center for Precision Surgery&Regenerative Medicine,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)
出处
《西安交通大学学报（医学版）》
CAS
CSCD
北大核心
2021年第2期262-266,共5页
Journal of Xi’an Jiaotong University（Medical Sciences）
基金
陕西省重点研发计划(No.2019SF-014)
陕西省卫生计生委计划项目(No.2018D056)
西安交通大学第一附属医院横向课题(No.HX201739)
西安交通大学第一附属医院新医疗新技术项目(No.XJYFY-2018W18,XJYFY-2019W3)
白求恩公益基金项目(No.HZB-20181119-070)
西安交通大学新医疗新技术项目(No.XJLS-2019-048)。
关键词
磁外科
磁锚定技术
胸腔镜手术
肺切除术
magnetic surgery/magnetosurgery
magnetic anchor technique
thoracoscopic surgery
pulmonary resection
作者简介
通信作者:张勇,副教授,副主任医师.E-mail:zhangyongyang05@163.com。
