当院におけるビデオ胸腔鏡施行例の検討

DOI 被引用文献5件 参考文献19件

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  • Video-assisted thoracoscopy for diagnosis and treatment of chest diseases.

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Video-assisted thoracoscopy was performed in a total of 56 patients in our institute between August 1992 and December 1994. The indications for thoracoscopy were pneumothorax (26 cases), mediastinal and chest wall tumor (10 cases), postoperative lung fistula (2 cases), hyperhidrosis (1 case), diffuse lung disease (11 cases), small pulmonary nodule (5 cases), and pleuritis (1 case). Thoracoscopy was used therapeutically for spontaneous pneumothorax, mediastinal and chest wall tumor, postoperative lung fistula, and hyperhidrosis. The outcome was very good except in three patients with pneumothorax who required thoracotomy. Thoracoscopy was useful especially in the diagnosis of diffuse lung disease, small pulmonary nodules and pleuritis. Recent advances in endoscopic equipment and refinement of thoracoscopic techniques and increased experience with thoracoscopy have expanded the application of this procedure. Our experience indicates a markedly expanded role for thoracoscopy in the diagnosis and treatment of thoracic diseases with less postoperative morbidity.

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