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目的总结胸腔镜手术切除儿童纵隔肿瘤的技巧。方法对9例纵隔肿瘤患儿采用胸腔镜下肿瘤切除治疗。结果全部患儿均顺利在腔镜下完成手术,手术时间60~200分钟,平均(133.3±58.3)分钟。术中出血量<10 ml。无因为出血以及创伤而中转开胸患儿。无围手术期死亡患儿。术后无因神经损伤导致隔神经麻痹以及Horner综合征等,无气管以及食管瘘的发生。随访未发现肿瘤复发。结论如选择合理的手术入路,胸腔镜切除儿童纵隔肿瘤手术安全可行。
Objective To summarize the technique of thoracoscopic surgery for excision of mediastinal tumors in children. Methods Nine patients with mediastinal tumors underwent thoracoscopic resection of the tumor. Results All children underwent endoscopic surgery successfully. The operation time was 60-200 minutes, with an average of (133.3 ± 58.3) minutes. Intraoperative bleeding <10 ml. No because of bleeding and trauma and transfer thoracotomy children. No perioperative death in children. No postoperative nerve injury caused by nerve paralysis and Horner syndrome, no tracheal and esophageal fistula occurred. Follow-up found no recurrence of tumor. Conclusion If a reasonable choice of surgical approach, thoracoscopic resection of children with mediastinal tumor surgery safe and feasible.