胸腔镜剑突下小切口治疗双侧胸腺瘤的临床效果

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Abstract Objective To compare the clinical effects of routine thoracotomy,VATS intercostal surgery and VATS subxiphoid small incision in the treatment of early thymomas,and to investigate the feasibility and superiority of VATS subxiphoid small incision surgery for bilateral thymomas.Methods A total of 62 patients with thymoma who met the diagnosis criteria of phaseⅠ-Ⅱ of the Masaoka staging method in our hospital from January 2014 to June 2017 were selected as the study subjects.They were assigned to different groups based on different surgical methods.A total of 16 patients were given VATS subxiphoid small incision surgery,24 patients were given VATS intercostal surgery,and 22 patients were given a traditional frontal and midline incision sternotomy.The surgery time,intraoperative blood loss,drainage time,length of stay,pain degree,antibacterial time,complication rate,and patient satisfaction were compared between the three groups.Results The operative time,postoperative drainage time,antibacterial time and postoperative hospitalization days in VATS subxiphoid group were shorter than those in VATS intercostal group and sternotomy group,the intraoperative blood loss in VATS subxiphoid group was less than that in VATS intercostal group and sternotomy group,with significant difference(P＜0.05).The incidence rate of complications in the three groups was 6.25%,12.50%,18.18%,and satisfaction was 81%,59%,42%,and the differences were statistically significant(P＜0.05).The advantage of VATS subxiphoid group was significant.During the follow-up period,no recurrence or metastasis was observed in all the three groups.Conclusion The VATS subxiphoid small incision in the treatment of bilateral thymoma reduces the surgical trauma,reduces the incidence rate of complications,alleviates the patient′s pain and shortens the hospital stay.It is worthy of clinical promotion and application.

Key words： Thoracoscopy Subxiphoid Thymoma Midline sternotomy

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	Articles by authors
	CHENG Shao-xian
	XU Wen-li
	AI Rui-hua
	ZHANG Yao-qing
	LIAO Yong-de

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CHENG Shao-xian,XU Wen-li,AI Rui-hua, et al. Clinical effect of thoracoscopic subxiphoid small incision in the treatment of bilateral thymomas[J]. 中国当代医药, 2018, 25(13): 8-12.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I13/8

[16]	宋永祥，陈成，瞿文栋，等.单孔胸腔镜胸腺瘤切除术19例疗效分析[J].贵州医药，2016，40（10）：1066-1067.
[17]	王海宁.电视胸腔镜技术在胸腺肿瘤手术治疗中的应用[J].山东医药，2012，52（18）：94-96.
[18]	陆荣国，陈静瑜，郑明峰.胸腔镜下胸腺切除术的临床分析[J].天津医药，2011，39（1）：71-72.
[1]	闫长虹，霍兴华.胸腺瘤研究进展[J].肿瘤基础与临床，2011，24（4）：362-364.
[2]	王禹冰，王武军，蔡瑞君.完全腔镜下胸腺扩大切除术的疗效[J].广东医学，2012，33（14）：2159-2160.
[3]	李晓，惠本刚，肖蓉心，等.胸腔镜治疗胸腺瘤的安全性及中长期疗效分析[J].中国微创外科杂志，2017，17（3）：193-196.
[4]	卢开进.电视胸腔镜与经胸骨胸腺切除治疗不伴胸腺瘤重症肌无力的效果[J].中国医药导报，2016，13（14）：119-122.
[5]	王贵刚，陈椿，郑炜.电视胸腔镜手术治疗胸腺瘤75例[J].中国微创外科杂志，2013，13（7）：581-583.
[6]	宋阳，陈刚，伍宁，等.电视胸腔镜与经胸骨胸腺切除治疗不伴胸腺瘤重症肌无力的临床分析[J].中华胸部外科电子杂志，2015，2（3）：182-187.
[7]	霍小森，王文璋.常规开胸与胸腔镜下治疗早期胸腺瘤的临床研究[J].癌症进展，2014，12（5）：502-504.
[8]	许家君，陈胜家，聂运祥，等.两孔法全胸腔镜手术治疗胸腺瘤伴重症肌无力 9 例报告[J].微创医学，2015，10（4）：471-472，477.
[9]	李剑明，刘汉云，梁锦崧，等.全胸腔镜胸腺扩大切除治疗20例重症肌无力合并胸腺瘤的临床研究[J].中国现代药物应用，2015，9（3）：155-156.
[10]	王建东，杨选平，辛永祥，等.电视胸腔镜与开胸手术治疗重症肌无力的疗效比较[J].中国现代医生，2014，52（7）：138-139，142.
[12]	Detterbeck FC，Zeeshan A.Thymoma：current diagnosis and treatment[J].Chin Med J （Engl），2013，126（11）：2186-2191.
[13]	孟祥一.胸腔镜与传统胸骨正中劈开治疗胸腺瘤合并重症肌无力的临床疗效分析[D].长春：吉林大学，2014.
[14]	唐勇，徐恩五，廖明，等.电视胸腔镜手术与胸骨劈开扩大胸腺切除术治疗重症肌无力的临床对比研究[J].中国微创外科杂志，2014，14（12）：1077-1080.
[15]	郭晶，石建光，胡文涛，等.胸腔镜下全胸腺切除治疗早期胸腺瘤的临床疗效分析[J].现代实用医学，2017，29（2）：176-177.
[11]	Diaz A，Black E，Dunning J.Is thymectomy in non-thymomatous myasthenia gravis of any benefit[J].Interact Cardiovasc Thorac Surg，2014，18（3）：381-389.
[19]	Lo CM，Lu HI，Hsieh MJ，et al.Thymectomy for myasthenia gravis：video-assisted versus transsternal[J].J Formos Med Assoc，2014，113（10）：P722-P776.
[20]	Ye B，Tantai JC，Ge XX，et al.Surgical techniques for earlystage thymoma：video-assisted thoracoscopic thymectomy versus transsternal thymectomy[J].J Thorac Cardiovasc Surg，2014， 147（5）：p1599-p1603.
[21]	Gonzalez-Rivas D，Paradela M，Fieira E，et al.Single-incision videoassisted thoracoscopic lobectomy：initial results[J].J Thorac Cardiovasc Surg，2012，143（3）：745-747.
[22]	Gonzalez-Rivas D.Recent advances in uniportal video-assisted thoracoscopic surgery[J].Chin J Cancer Res，2015，27（1）：90-93.
[23]	Yu L，Zhang XJ，Ma S，et al.Thoracoscopic thymectomy for myasthenia gravis with and without thymoma：a singlecenter experience[J].Ann Thorac Surg，2012，93（1）：240-244.
[24]	苏雷，支修益，张毅，等.胸腔镜胸腺扩大切除治疗非胸腺瘤性重症肌无力[J].中国微创外科杂志，2014，14（4）：340-341.
[25]	Vannucci J，Pecoriello R，Ragusa M，et al.Multiple pleuropericardial implants of thymoma after videothoracoscopic resection[J].Interact Cardiovasc Thorac Surg，2010，11（5）：696-697.