胸腔镜辅助小切口肺叶切除治疗直径大于5cm肺癌临床研究  

Clinical study of video-assisted mini-thoracotomy pulmonary lobectomy on lung cancer patients whose tumor size was greater than 5 cm

作　　者：王玉波[1] 高学军[1] 刘洪建[1] 刘建伟[1] 秦蜜蜜 刘秀兰[3] 张庆广[1] 

机构地区：[1]滨州医学院附属医院胸外科,滨州256603 [2]滨州医学院附属医院病理科 [3]滨州医学院附属医院麻醉科

出　　处：《滨州医学院学报》2014年第5期324-326,共3页Journal of Binzhou Medical University

摘　　要：目的探讨肿瘤直径大于5cm的肺癌行胸腔镜辅助小切口(video-assisted mini-thoractomy,VAMT)肺叶切除手术治疗的可行性及临床价值。方法肺癌肿瘤直径大于5cm的109例中行VAMT肺叶切除术(VAMT组)45例,行常规开胸切除术(常规开胸组)64例,分别就病人手术时间、术中出血量、淋巴结清扫数目、引流液大于100ml天数、术后并发症、术后住院天数等进行回顾性比较研究。结果全组无手术死亡及严重并发症。两组在手术时间、术中出血量、淋巴结清扫数目、并发症发生率方面无统计学意义,在引流液大于100ml天数、术后住院天数方面差异有统计学意义。结论 VAMT肺叶切除手术治疗肿瘤直径大于5cm的肺癌是安全可行的微创术式。Objective To evaluate the clinical value and the feasibility of video‐assisted mini‐thoractomy （VAM T ） lobectomy for patients with lung cancer whose tumor size was greater than 5 cm .Methods 109 patients with lung cancer successfully un‐derwent either VAMT lobectomy （VAMT group;n=45） or conventional lobectomy （control group;n=64） .All the factors ,in‐cluding operation time ,blood loss volume in operation ,total number of dissected lymph nodes ,time of drainage 〉100 ml ,hos‐pitalization after operation and incidence of complications between the two groups were compared .Results All the procedures were carried out safely without serious complications .There were no differences between the two groups in operation time , blood loss volume in operation ,total number of dissected lymph nodes and incidence of complications .The time of drainage 〉100 ml of VAMT group was shorter than that of control group .The hospitalization after operation of VAMT group was signifi‐cantly shorter than that of control group .Conclusion The VAMT lobectomy is a safe ,reliable and less invasive approach for lung cancer patients whose tumor size was greater than 5cm .

关 键 词：胸腔镜辅助小切口 肺叶切除术 肺癌 

分 类 号：R655.3[医药卫生—外科学]