完全胸腔镜下肺叶切除术治疗非小细胞肺癌54例临床分析  

Thoracoscopic Lobectomy in the Treatment of 54 Patients with Non-small Cell Lung Cancer

作　　者：郭刚[1] 侯文俊 李高峰[3] 陈瑞彬[1] 陈楠[3] 张继朋[1] 

机构地区：[1]昆明医学院第三附属医院胸外科,云南昆明650000 [2]宣威市人民医院,云南宣威655400 [3]云南省肿瘤医院胸外科,云南昆明650000

出　　处：《昆明医学院学报》2011年第9期24-27,共4页Journal of Kunming Medical College

基　　金：云南省社会发展重点项目(2010CA015);云南省科技厅联合基金资助项目(2010CD185)

摘　　要：目的总结用完全电视胸腔镜肺叶切除术下治疗非小细胞肺癌的经验.方法对54例非小细胞肺癌患者采用完全胸腔镜下肺叶切除术+系统淋巴结清扫术,均经术前或者术后病理检查确诊.结果 54例患者肿瘤均完整切除,术后病理报告肺叶切缘未见癌细胞;全组无围手术期死亡,无严重手术并发症.并行淋巴结系统性清扫,其中右胸清扫淋巴结(13.4±1.1)个,左胸清扫淋巴结(11.5±1.5)个;电视胸腔镜手术(video-assisted thoracoscopi surgery,VATS)时间(80～125)min,平均(98±15)min;术后平均住院时间(7.5±2.6)d,术后引流管留置时间(3.2±1.8)d.结论全胸腔镜下肺叶切除术手术是安全可行的,较传统开胸手术创伤小、并发症少、生理干扰小,具有明确的微创性.Objective To summarize the experiences in the treatment of non-small cell lung cancer with full video-assisted thoracoscopic lobectomy.Methods 54 patients with non-small cell lung cancer were treated with complete thoracoscopic lobectomy and lymph node dissection.All patients were confirmed by preoperative or postoperative pathological examination.Results The tumors of 54 patients were completely resected,and postoperative pathology report showed no lung cancer cells in the resection margin.There were no perioperative deaths and no serious complications.Systematic lymph node dissection was conducted in parallel,in which（13.4 ± 1.1） right chest lymph nodes were dissected,and（11.5 ± 1.5） left chest lymph nodes were dissected.VATS time was（80 ~ 125） min,and（98 ± 15） min in average.The mean postoperative hospital stay time was（7.5 ± 2.6） d,and postoperative drainage tube indwelling time was（3.2 ± 1.8） d.Conclusion The total thoracoscopic lobectomy is safer and more feasible than traditional open chest surgery with little trauma,less complications,physical disturbance and clear minimally invasive procedure.

关 键 词：完全胸腔镜手术 肺叶切除术 非小细胞肺癌 

分 类 号：R734.2[医药卫生—肿瘤]