I期非小细胞肺癌淋巴结清扫中胸腔镜手术的效果  

Efficacy of Thoracoscope in the Lymph Node Dissection of Stage Ⅰ Non-small Cell Lung Cancer

作　　者：贾辉[1] 俞明锋[1] 胡振东[1] 任斌辉[1] 尹荣[1] 张治[1] 邱宁雷[1] 许林[1] 

机构地区：[1]江苏省肿瘤医院胸外科,江苏南京210009

出　　处：《肿瘤基础与临床》2014年第1期62-65,共4页journal of basic and clinical oncology

基　　金：江苏省科技厅临床医学科技专项基金资助项目(编号:BL2012030)

摘　　要：目的探讨胸腔镜下Ⅰ期非小细胞肺癌(NSCLC)根治术中淋巴结清扫的效果。方法收集经胸腔镜手术治疗74例(胸腔镜组)及开胸手术治疗80例(开胸组)的Ⅰ期NSCLC患者的临床资料,比较分析2组淋巴结清扫数目的差异,同时比较2组术中出血量、术后胸腔引流量、声音嘶哑、心肺总并发症的差异。结果胸腔镜组在双侧N2淋巴结清扫的数量高于开胸组(P<0.05);2组双侧N1淋巴结清扫数量差异无统计学意义(P>0.05);2组术中出血量、术后胸腔引流量、声音嘶哑发生率及心肺总并发症发生率差异均无统计学意义(P>0.05)。结论在Ⅰ期NSCLC根治术中,胸腔镜下系统性淋巴结清扫在技术上符合肿瘤外科原则,优于开胸手术。Objective To investigate the efficacy of thoracoscope in the lymph node dissection of stage I non- small cell lung cancer （NSCLC）. Methods Seventy-four cases of stage Ⅰ NSCLC by thoracoscope treatment （the thoracoscope group） and 80 cases of stage Ⅰ NSCLC by thoracic surgery treatment （the open thoracic surgery group） were analyzed retrospectively. The difference of the two groups about the number of dissected lymph nodes, the operative blood loss, the thoracic drainage, the hoarseness and the total cardiopulmonary complications were com- pared. Results The average numbers of dissected lymph nodes by thoracoscope were more than by thoracic surgery about N2 lymph node （P 〈0.05）. There was no statistical difference about N1 lymph node in the two groups （P 〉 0.05）. There were no statistical difference in the operative blood loss, the thoracic drainage, the hoarseness inci- dence, the complication incidences between the two groups （ P 〉 0.05 ）. Conclusion The lymph node dissection by thoracoscope was technically feasible for stage ⅠNSCLC. Compared with thoracic surgery, thoracoscope lobectomy is an appropriate procedure for patients with stage I NSCLC.

关 键 词：胸腔镜 开胸手术 非小细胞肺癌 淋巴结清扫 

分 类 号：R734.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]