全腔镜下肺叶切除术与开胸肺叶切除术治疗非小细胞肺癌比较的临床研究  

Comparison between video-assisted thoracic surgery (VATS) and traditional open surgery on lobectomy for non-small cell lung carcinoma

作　　者：庄曙明[1,2] 陈亮[1] 陈广明[1] 朱全[1] 

机构地区：[1]南京医科大学第一附属医院胸外科,江苏南京210029 [2]常州市第三人民医院,江苏常州213003

出　　处：《南京医科大学学报（自然科学版）》2010年第4期518-521,共4页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：目的:回顾性分析电视胸腔镜手术(VATS)及传统开胸手术(TOS)行肺叶切除术的优缺点。方法:2008年6月～2009年3月期间行肺叶切除术的非小细胞肺癌患者分为VATS组和TOS组,比较两组在手术时间、术中出血量、术后疼痛及胸管引流时间、术后常见并发症、住院时间及住院费用有无差异。结果:VATS组手术时间、胸管引流时间及术后住院时间较TOS组无明显差异;与TOS组相比,VATS组术后疼痛明显减轻、围手术期出血量明显减少;TOS组有2例出现术后胸腔积液;VATS组手术及住院费用明显高于TOS组;两组均无死亡。结论:电视胸腔镜手术创伤小、出血少,手术时间与开放手术无明显差别,术后并发症少,术后恢复快,但手术费用较多。Objective：To retrospectively compare the differences between Video-assisted thoracic surgery （VATS） and traditional open surgery（TOS） on lobectomy for non-small cell lung carcinoma. Methods：The patients with non-small cell lung carcinoma undergone lobectomy from June,2008 to March,2009 were devided to two groups：VATS group and TOS. The operation time,perioperative blood loss,time for chest drainage,postoperative pain,hospital stay and cost,and complications of two groups were analyzed. Results：The operation time,time for chest drainage and hospital stay in VATS group are similar to TOS group. Perioprative blood loss and postoperative pain in VATS group are less than those in TOS group significantly. The hospital cost in VATS group is higher significantly than that in TOS group. No death occurred in two groups. Conclusion：Lobectomy with VATS caused less wound pain,blood loss and postoperative complications. The patients with VATS recovered more rapidly. But the cost was much higher.

关 键 词：电视胸腔镜 传统开胸 肺叶切除术 非小细胞肺癌 

分 类 号：R734.2[医药卫生—肿瘤]