电视胸腔镜辅助小切口肺癌根治术的临床研究  

Clinical Study of Mini-incision Video-assisted Thoracoscopic for Lung Cancer

作　　者：杨晓军[1] 李强[1] 胡彬[1] 庄翔[1] 谢天鹏[1] 肖平[1] 

机构地区：[1]四川省肿瘤医院胸外科,成都610041

出　　处：《肿瘤预防与治疗》2012年第2期63-66,共4页Journal of Cancer Control And Treatment

基　　金：四川省卫生厅科学研究项目(070036)

摘　　要：目的:探讨电视胸腔镜辅助小切口肺癌根治术的手术方法及效果。方法:在术前充分告知的情况下将92例周围型肺癌患者患者分为两组。电视胸腔镜辅助小切口组52例,行电视胸腔镜辅助小切口肺癌根治术;传统后外侧切口组40例,行传统后外侧切口开胸肺癌根治术;比较两组患者术中情况、术后并发症、恢复情况。结果:两组患者均无支气管胸膜瘘发生;手术时间、切口感染率两组患者无明显差别;电视胸腔镜辅助小切口组术中出血、肺部感染明显少于传统后外侧切口组;电视胸腔镜辅助小切口组术后止痛药及量、术后胸腔闭式引流量、胸腔闭式引流管拔除时间、抗生素使用时间、住院时间、住院费用等明显优于传统后外侧切口组。结论:电视胸腔镜辅助小切口肺癌根治术是微创、安全、可行、有效的,较后外侧切口手术有明显的优势。Objective： To investigate the clinical value of mini-incison video-assisted thoracoscopic surgery （VATS） in the treatment of lung cancer. Methods： Ninety-two cases of peripheral lung cancer were divided into VATS group and traditional group. Fifty-two cases were treated by lobectomy combined with mcdiastinal lymph node resection using mini-incision video-assisted thoraco-scopic surgery（ VATS group） ;40 cases were treated by traditional surgery （traditional group）. The data of operation process, postopera- tive complications and recovery status were compared. Results： Bronchopleural fistula was not observed in both groups. There was nodifference in time of operation and the incidence of postoperative infection between these two groups. Intraoperative hemorrhage was ob- viously fewer in VATS group than that in traditional group. The incidence of postoperative pulmonary infection in VATS group was lower than that of traditional group. VATS had advantages in the dose of analgesics, the volume of closed drainage of pleural cavity, the time of using antibiotics, the length of stay and the cost of stay. Conclusion： Video-assisted thoracoscopic surgery（VATS） for lung cancer is safe, feasible and available with satisfying outcomes.

关 键 词：肺癌 胸腔镜辅助小切口 后外侧切口 

分 类 号：R734.2[医药卫生—肿瘤]