VATS下肺叶切除与开胸肺叶切除对非小细胞肺癌的疗效分析  

Comparative Analysis of Efficacy Between VATS Lobectomy and Thoracotomy Lobectomy for Non-small Cell Lung Cancer

作　　者：查明元[1] 赵奔英[1] 王强[1] 孟小勇[1] 

机构地区：[1]常熟市第一人民医院,215000

出　　处：《实用癌症杂志》2013年第6期659-661,共3页The Practical Journal of Cancer

摘　　要：目的比较全胸腔镜肺叶切除与开胸肺叶切除对非小细胞肺癌的疗效。方法将119例非小细胞肺癌患者,根据手术方式不同分为传统开胸组61例和VATS组58例,观察并比较两组患者的临床效果。结果 VATS组的淋巴结清扫组数和阳性数与传统开胸组相比无明显差异(P>0.05);而淋巴结清扫数目[(12.3±2.3)个]明显少于传统开胸组,淋巴结清扫时间[(24.9±4.6)min]明显短于传统开胸组,VATS组术中出血量[(231.1±78.3)ml]、胸腔引流量[(1353.5±486.2)ml]和住院时间[(12.1±3.1)d]也明显少于传统开胸组,VATS组并发症也较少,差异有统计学意义(P<0.05)。结论全胸腔镜肺叶切除术治疗效果佳、安全性好、术后恢复快,是未来胸外科微创手术的发展方向。Objective To compare the clinical efficacy of VATS lobeetomy and thoraeotomy lobectomy for non-small cell lung cancer. Methods 119 non-small cell lung cancer patients were randomly divided into the VATS group with 58 cases and the traditional open pneumonectomy group with 61 cases. Clinical efficacy of the 2 groups were compared. Results There were no significant differences in the number of lymph nodes group, number of positive lymph nodes between the two groups （P 〉 0.05 ）. However,the number of lymph nodes [ （ 12.3 ±2.3 ） cases ], cleaning time of lymph nodes [ （ 24.9 ±4.6 ） min ], blood loss [ （231.1 ±78.3） ml] ,time of hospital stay[ （ 12.1 ±3.1 ） d], chest flux[ （ 1353.5 ±486.2） ml] of patients in VATS group were significantly less than those of the traditional open pneumonectomy group（ P 〈 0.05 ） ,and the VATS group had less compli- cations, the difference was statistically significant（ P 〈 0.05 ）. Conclusion Complete video-assisted thoracoscopic pneumonectomy for non-small cell lung cancer is effective, safe with minimal postoperative discomfort, and it can be the development direction for future thoracic surgery.

关 键 词：电视胸腔镜手术 非小细胞肺癌 肺叶切除 淋巴结清扫 

分 类 号：R734.2[医药卫生—肿瘤]