胸腔镜辅助小切口治疗I期非小细胞型肺癌的临床研究  

Clinical study of vedio-assisted minithoracotomy in resection of stage 1 non-small cell lung cancer

作　　者：傅晓源[1] 易石坚[1] 胡英斌[2] 

机构地区：[1]广东省深圳市福永医院,深圳518103 [2]中南大学湘雅二医院

出　　处：《中国医药导报》2006年第9期1-3,共3页China Medical Herald

摘　　要：目的评价电视胸腔镜手术(VATS)辅助小切口治疗I期非小细胞型肺癌的可行性与临床价值。方法将86例需行肺叶切除术的I期非小细胞型肺癌病人按时间顺序平均分为两组:研究组(胸腔镜组)应用VATS辅助胸壁小切口对43例肺周围孤立小结节行肿物楔形切除术,术中快速冰冻病理切片检查,证实为非小细胞型肺癌(NSCLC),施行相应的肺叶切除,系统性的肺门及纵隔淋巴结清扫术;对照组(开胸组)43例I期非小细胞型肺癌采用后外侧切口进胸,其他处理与胸腔镜组相同,两组术后均未加辅助治疗。结果研究组病人创伤明显减轻,出血量少,术后恢复快(p<0.05),两组病人均无手术死亡及严重并发症。近期随访结果无1例复发与转移。结论VATS辅助胸壁小切口对I期非小细胞型肺癌行根治性切除是可行的。Objective To evaluate the clinical value and feasibility of Video-assisted minithoracotamy (VAMT) in resection of stage 1 non-small cell lung cancer.Methods 86 cases patients who needed to lobectomy were equally divided into two groups.The patients of study group were performed with mass wedge-shape excision applying VAMT and rapid pathological frozen section examination.After diagnosis as non-small cell lung cancer confirmed ,they were performed with pulmonary lobectomy, excion of systematic lung hilus and lymph nodes of mediastinum .The 43 cases of control group were treated with conventional lobectomy.No adjunctive 、therapy were done postoperatively.Results The damage of the operation was obviously decreased in study group and with slightly bleeding amount, postoperative recovery were more rapid than the control group(p<0.05),no death during operation and severe complications.No recurrence and metastasis occur in near follow-up.Conclusion Radical resection of stage 1 non-small cell lung cancer with VAMT is feasible.

关 键 词：电视胸腔镜辅助小切口 电视胸腔镜手术 肺叶切除术 非小细胞型肺癌 

分 类 号：R[医药卫生]