电视胸腔镜辅助小切口肺叶切除44例临床分析  

A Study of Video-Assisted Thoracoscopic Surgery Lobectomy in Small Incision of 44 Cases

作　　者：张长弓[1,2] 巫正伟[1,2] 李高峰[1,2] 张勇[1,2] 钱可宝[1,2] 向旭东[1,2] 郭刚[1,2] 王巍炜[1,2] 叶联华[1,2] 陈楠[1,2] 

机构地区：[1]昆明医学院第三附属医院 [2]云南省肿瘤医院胸外科,云南昆明650118

出　　处：《肿瘤基础与临床》2010年第4期335-336,共2页journal of basic and clinical oncology

摘　　要：目的探讨胸腔镜辅助小切口肺叶切除在早期肺癌及肺良性病变治疗中的应用价值。方法回顾性分析行胸腔镜辅助小切口肺叶切除44例的临床资料,其中周围型肺癌(T1N0～1M0)23例,肺囊肿4例,肺结核9例,右肺上叶不张并脓肿2例,炎性假瘤6例。结果本组无中转开胸,手术时间90～120min,平均105min。术中出血100～300mL,平均200mL。全组44例无严重术后并发症,拔除胸腔闭式引流管时间2～5d,平均3.5d。结论胸腔镜肺叶切除对周围型肺癌(T1N0～1M0)及肺部局限性良性病变是一种安全可行的手术方法。Objective To study the small incision assisted thoracoscopic lobectomy in the treatment of early lung cancer and pulmonary benign lesions in the application.Methods The Clinical data of 44 patients were analyzed retrospectively.Twenty three cases with peripheral lung cancer（T1N0 -1M0）,4 cases with pulmonary cysts,9 cases with lung tuberculosis,right upper lobe atelectasis and abscess of 2 cases,6 cases with inflammatory pseudotumor.Results There was no interim thoracotomy,operative time 90-120 min,the average 105 min.Blood loss was 100-300 mL,an average of 200 mL.The whole group of 44 cases without serious complications.The overall closed thoracic drainage tube removal time of 2-5 d,an average of 3.5 d.Conclusion Thoracoscopic lobectomy for peripheral lung cancer（T1N0 -1 M0） and the limitations of benign lung is safe and feasible surgical methods.

关 键 词：电视胸腔镜手术 肺叶切除 小切口 

分 类 号：R730.56[医药卫生—肿瘤] R734.2[医药卫生—临床医学]