电视胸腔镜辅助小切口行肺癌根治术的临床研究  

Clinical Study of Video-assisted Minithoracotomy Radical Lobectomy and Lymph Node Dissection in Patients with Lung Cancer

作　　者：韩育宁[1] 苏金林[1] 何进喜[1] 李晋南[1] 

机构地区：[1]宁夏医学院附属医院胸心外科,银川750004

出　　处：《宁夏医学院学报》2007年第4期354-356,共3页Journal of Ningxia Medical College

摘　　要：目的探讨电视胸腔镜辅助小切口(VAMT)行肺癌根治术的可行性和手术适应证。方法应用VAMT肺叶切除并淋巴结清扫术治疗肺癌(T1-2N0-1M0)32例(VAMT组),采用常规开胸手术器械与内镜器械相结合,内镜+直视下行肺叶切除和纵隔肺门区淋巴结清扫,并与同期33例肺癌常规开胸肺叶切除术(对照组)进行比较研究。结果VAMT组32例肺叶切除术顺利完成,均未输血,无特殊并发症,术后恢复良好。与常规组比较在淋巴结清扫数量、范围和手术时间、术后胸液量、术后住院天数方面差异无统计学意义;术中失血量VAMT组优于常规组。结论将VATS技术与传统开胸技术相结合施行T1-2N0-1M0肺癌根治术既发挥了微创外科的优越性,又达到了传统开胸手术安全、可靠的效果,清扫淋巴结符合肿瘤手术原则,应严格掌握手术适应证。Objective To evaluate the technique and the indication of Video-assisted minithoractomy（VAMT） radical lobectomy and Lymph node dissection for patients with lung cancer.Methods Between Jun 2004 and Apr 2006,32 patients with primary lung cancer were successfully performed with VAMT radical lobectomy and Lymph node dissection. 33 patients with similar characteristic were named control group. The minimal thoractomy from 5 - 7 cm was made at fifth intercostal space. The radical lobectomy and Lymph node dissection was undergone for conventional or dedicated endoscopic instruments. Results It was satisfactory without operative mortality and postoperative complications. No significant differences were observed in the two groups with respect to the total number of mediasfinal and hilar region lymph nodes dissected. The intraoperative blood loss significantly was less in the VAMT group. The length of postoperative hospitalization and the postoperative total amount effusion were the same in the two groups. Conclusion The VAMT radical lobectomy and Lymph node dissection is a safe and reliable and less invasive approach in primary lung cancer.Nevertheless, it is important to adhere to the indication.

关 键 词：电视胸腔镜 辅助小切口 肺癌根治术 

分 类 号：R734.2[医药卫生—肿瘤]