电视胸腔镜辅助小切口手术在非小细胞肺癌中的应用  

Clinical application of video-assisted mini-thoracotomy in non-small cell lung cancer

作　　者：王凯斌[1] 秦治明[1] 左小平[1] 郑相如[1] 

机构地区：[1]重庆医科大学附属第一医院胸心外科,重庆400016

出　　处：《局解手术学杂志》2013年第4期391-392,395,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨电视胸腔镜辅助小切口行肺癌根治术的临床价值。方法我院2008年1月至2012年8月收治213例I～IIIa期非小细胞肺癌,82例在完全胸腔镜下下行肺癌根治术(CVATS组),63例在电视胸腔镜辅助小切口下行肺癌根治术(VAMT组),比较分析2组围手术期相关临床指标的变化。结果 2组比较,术中出血量、淋巴结清扫数目、术后需要镇痛的时间、住院时间均无统计学意义(P>0.05),VAMT组手术时间、住院费用显著小于CVATS组(P<0.05)。VAMT组术后胸腔置管时间与CVATS组比较略长,但差异无统计学意义(P>0.05)。结论 VAMT肺叶切除可彻底清扫淋巴结;具有创伤小、恢复快、住院时间短、费用低等优点,适宜于在基层医院开展。Objective To investigate the clinical application value of video-assisted mini-thoracotomy on non-small cell lung cancer. Methods All 213 patients with non-small cell lung cancer（NSCLC） at stage Ⅰ-Ⅲa from January 2008 to August 2012 were treated,82 cases underwent complete video-assisted thoracoscopic pneumonectomy （CVATS group）,63 patients received video-assisted mini-thoracotomy thoracotomy（ VAMT group）. And the clinical indicators of two groups in perioperative period were compared and analyzed. Results There was no significant differences in volume of intraoperative bleeding, dissected lymph node number, postoperative analgesic time, length of hospitalization between the two groups （P 〉 0.05 ）. However, operation duration, hospitalization costs of patients in VAMT group were less than those in CVATS group（P 〈 0.05 ）. Duration of postoperative catheter drainage of patients in VAMT groups is slightly longer than those in CVATS group, but the difference was no statistical significance （ P 〉 0.05 ）. Conclusion VAMT lobectomy can thoroughly clean the lymph nodes, has advantages of less invasive, faster recovery, shorter hospital stay, low cost, etc, which can be used as a surgical approach in nonsmall cell lung cancer with no taboos now. It is feasible to promote in the primary hospital.

关 键 词：非小细胞肺癌 完全胸腔镜下肺癌根治术 电视胸腔镜辅助小切口肺癌根治术 肺叶切除术 

分 类 号：R734.2[医药卫生—肿瘤]