电视胸腔镜辅助小切口肺叶切除术62例临床研究  

Clinical research of lobectomy of benign pulmonary lesion and Lung cancer with video-assisted minithoracotomy

作　　者：王会志[1] 于翠娟[2] 刘贵祥[1] 张树波[3] 张海鹰[1] 艾彬[1] 郎捷[1] 

机构地区：[1]唐山市人民医院胸外科,河北唐山063000 [2]唐山钢铁公司医院,河北唐山063000 [3]河北联合大学附属医院,河北唐山063000

出　　处：《现代肿瘤医学》2012年第9期1836-1837,共2页Journal of Modern Oncology

基　　金：首都医学发展科研基金项目(编号:2009-1017)

摘　　要：目的:探讨电视胸腔镜辅助小切口在肺良性病变及肺癌手术中的应用价值。方法:对62例肺部良、恶性病变分别进行了肺叶切除及肺癌根治切除+淋巴结清扫。结果:54例在胸腔镜辅助6-8 cm小切口下完成手术,其中8例因胸膜粘连或肺部肿瘤较大、术中血管损伤出血等原因,延长切口至约12cm,部分撑开肋骨完成手术。结论:电视胸腔镜辅助小切口行肺叶切除术比全胸腔镜下手术适应证更宽,费用低,且具备较常规开胸手术切口小、对心肺功能影响小、恢复快等优点。可作为开胸手术向全胸腔镜手术过渡的桥梁。Objective ：To evaluate the value of video - assisted mini - thoracoscopy （ VAMT ） lobectomy for be-nign pulmonary lesion and lung cancer. Methods ： Lobectomy or radical resection was performed on 62 patients of be-nign puhnonary lesion or lung cancer by VAMT. Results：Lobectomy or radical resection were completed in 54 patients by a 6cm to 8cm incision during the operation. For the other 8 cases the incision was extended to about 12cm because of pleural adhesions,larger pulmonary tumor or intraoperative vascular injury. Conclusion：The indication of VAMT is wider than video-assisted thoracoscopic surgery（VATS）. Compared to conventional thoracotomy VAMT brought pa-tients less intraoperative blood loss,quicker recovery, shorter length of postoperative hospital stay,less cost of hospital-ization. VAMT can be regarded as transitional bridge from traditional thoracotomy to VATS.

关 键 词：电视胸腔镜手术 小切口 肺叶切除术 

分 类 号：R734.2[医药卫生—肿瘤]