电视胸腔镜辅助下小切口肺癌手术与开胸手术的对比研究  

Comparative study of video-assisted thoracoscope auxiliary small incision(VAMT) lobectomy with open thoracotomy for treatment of lung cancer

作　　者：夏发明[1] 文石兵[1] 潘晓锋[1] 何林锋[1] 黄立功[1] 胡定中[2] 

机构地区：[1]浙江省台州市立医院心胸外科,浙江台州318000 [2]上海市胸科医院胸外科,上海200030

出　　处：《中国内镜杂志》2012年第1期89-91,共3页China Journal of Endoscopy

摘　　要：目的探讨电视胸腔镜辅助小切口(VAMT)肺叶切除术治疗肺癌的临床价值。方法将112例原发性周围型非小细胞肺癌患者随机分成传统开胸手术组和VAMT组,比较两组围手术期及术后的各项指标。结果两组肺癌患者的病理分期和淋巴结清扫情况差异无显著性(P>0.05)。VAMT组术中出血量、平均住院时间、并发症发生率均低于传统开胸手术组,两组的差异有显著性(P<0.05);两组手术时间、引流管置留时间比较差异均无显著性(P>0.05)。两组随访3～24个月,均未见复发和/或转移病例。结论采用VAMT切除肺癌及淋巴结清扫安全可靠、创伤小、出血少、术后恢复快、效果确切,值得深入研究发展和推广。[Objective] To explore the clinical value of video-assisted thoracoscopy auxiliary small incision（VAMT） lobectomy for treatment of lung cancer.[Methods] 112 cases of primary peripheral non-small cell lung cancer were divided at random into traditional open thoracic operation and VAMT groups,the surgery time and each postoperative index were compared between the two groups.[Results] The results of two groups of patients with lung cancer pathological stage and lymph node dissection situation were the significantly different（P 0.05）.For VAMT group,perioperative bleeding,the average length of hospital stay,complications were less than traditional open chest,two groups had a statistically significant difference（P 0.05）;The operation time,the tube time to be kept of the two groups were no significant difference（P 0.05）.Two groups were followed-up for 3-24 months,without recurrence and/or cases transfer.[Conclusion] The VAMT resected lung cancer and lymph node dissection is safe and reliable,with small trauma,less bleeding and postoperative recovery,worth development and promotion.

关 键 词：胸腔镜辅助小切口 肺癌 肺叶切除 

分 类 号：R734.2[医药卫生—肿瘤]