全胸腔镜肺叶切除与传统开胸肺叶切除的临床对比  

Clinical Analysis Between Completely Video-assisted thoracoscopic lobectomy and conventional thoracotomy

作　　者：江贤亮[1] 马冬春[1] 徐美青[1] 魏大中[1] 

机构地区：[1]安徽医科大学附属省立医院胸外科,安徽合肥230001

出　　处：《临床肺科杂志》2011年第2期230-232,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨全胸腔镜肺叶切除(completely video-assisted thoracoscopic lobectomy,c-VATS)治疗肺部疾病的可行性、近期疗效,总结围手术期处理经验。方法 2009年7月至2010年8月我科全胸腔镜肺叶切除31例(c-VATS组),随机选取42例开胸肺叶切除(传统开胸组)作对照研究,观察手术时间、清扫的淋巴结数量、术中失血量、术后胸液量、胸引管带管时间,术后住院时间,切口疼痛程度、术后并发症等方面指标。结果 c-VATS组中转开胸1例,两组均无围手术期死亡病例,c-VATS组在术后并发症与清扫淋巴结方面与开胸组相比无统计学差异,前者在手术时间、术中出血量、术后胸液总量、胸引管带管时间、切口疼痛程度、术后住院时间方面优于后者。结论全胸腔镜肺叶切除术是一种安全、有效、更加微创的手术方式,值得推广。Objective To evaluate the feasibility,the short-term outcome,and summarize the perioperative experience of completely video-assisted thoracoscopic lobectomy for pulmonary diseases.Methods From July 2009 to August 2010,31 cases which underwent completely video-assisted thoracoscopic lobectomy（c-VATS group）and 42 cases which underwent conventional thoracotomy（thoracotomy group） were compared in operation time,the number of lymph node,intraoperative blood loss,the chest tube conduction,postoperative chest tube time,postoperative hospitalization time,incision pain,complications,etc.Results Only 1 case was converted to open thoracotomy.No operative morality occurred in either group.There were no statistical significance between c-VATS group and thoracotomy group in complications and the number of lymph node.There were statistical significances between c-VATS group and thoracotomy group in operation time,intraoperative blood loss,the chest tube conduction,postoperative chest tube time,incision pain and.postoperative hospitalization time.Conclusion Completely video-assisted thoracoscopic lobectomy is a safe and effective surgical procedure with minimal invasiveness,so it is worth spreading.

关 键 词：胸腔镜 肺叶切除术 开胸手术 

分 类 号：R655.3[医药卫生—外科学]