市级医院开展剑突下拉钩辅助胸腔镜治疗纵隔疾病的临床分析

Clinical Analysis of Subxiphoid Pull Hook Assisted Thoracoscopy in the Treatment of Mediastinal Diseases in Municipal Hospitals

摘要: 目的：探讨在市级医院应用剑突下拉钩辅助胸腔镜微创技术治疗纵隔疾病的安全性、可行性及相关学习过程。方法：回顾性分析2021年6月至2025年6月期间，吉林市中心医院胸外科收治的391例接受剑突下拉钩辅助胸腔镜手术患者的临床资料，包括男性271例、女性120例，年龄14~82岁。结果：所有手术均顺利完成，其中8例中转开胸，中转率为2.0%；术后出现并发症6例(1.5%)；围手术期死亡1例，死亡率0.2%。结论：在市级医院开展剑突下拉钩辅助胸腔镜治疗纵隔疾病安全可行，具有一定的临床推广价值。

Abstract: Objective: To investigate the safety, feasibility, and learning curve of subxiphoid pull hook-assisted thoracoscopic minimally invasive techniques for mediastinal diseases in municipal hospitals. Methods: A retrospective analysis was conducted on clinical data from 391 patients (271 males, 120 females; age 14~82 years) treated with subxiphoid pull hook-assisted thoracoscopic surgery at the Department of Thoracic Surgery, Jilin Central Hospital, between June 2021 and June 2025. Results: All surgeries were successfully completed, with 8 cases (2.0%) requiring conversion to open thoracotomy. Postoperative complications occurred in 6 cases (1.5%), and 1 perioperative death was reported (0.2%). Conclusion: Subxiphoid pull hook-assisted thoracoscopic treatment for mediastinal diseases is safe and feasible in municipal hospitals, demonstrating clinical promotion value.