XU Chang,LUO qi-cheng,YANG xiao-dong,et al.Eight cases of video-assisted thoracoscopic surgery in children for lobectomy[J].Journal of Clinical Pediatric Surgery,,12():117-119.[doi:10.3969/j.issn.1671— 6353.2013.02.012]
Eight cases of video-assisted thoracoscopic surgery in children for lobectomy
- Keywords:
- Thoracoscopy; Lung Diseases; Thoracic Surgical Procedures; Child
- Abstract:
- Objetive Summarize the operation experience of vats lobectomy for 8 cases, this paper discusses the feasibility of vats lobectomy resection for children. Methods analyse the implementation of 8 cases of children under video-assisted thoracoscopic surgery(vats lobectomy combined with case material from July 2011 to December 2012, And make a tentative summary experience for the treatment after operation. Results 5 cases were male, female 3 cases in the eight cases,,aged 4 to 11 years.The left lung resection of lower lobe 4 cases, the left upper lobe lung in 2 cases, 2 cases of the lower lobe. Except 1 case was 11 years old children among single pulmonary ventilation outside, the rest of the children under the age of 10 are line double pulmonary ventilation.2 cases intraoperative transit open surgery, and the rest in the under complete thoracoscopy operation. Intraoperative bleeding 10~30 mL, surgery time is fifty to 90 minute.Pulling thoracic closed drainage tube after 3~4 days,discharge postoperative 6~7 days, no serious complications appear.Recent follow-up with side residual lung lobe are compensated well. Conclusions Thoracoscope lung lobe resection operation field show clear, little trauma, surgical time is short, the pain is little of children and postoperative recovery very fast, respiratory system less complications.Senior one lung ventilation can increase operating space, and at the same time, atelectatic lungs also avail to the department of anatomy, to make surgery simplified.If master the indications and operation skills, even if no one lung ventilation situation, also has certain feasibility.
References:
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