全胸腔镜与传统开胸肺癌根治术淋巴结清扫的对比研究  

The comparative study in lymph node dissection between videoassisted thoracoscopic surgery and traditional thoracic surgery in radical ressection of lung cancer

作　　者：胡波[1] 袁延亮[1] 王正[1] 王伟[1] 王国祥[1] 周中新[1] 

机构地区：[1]徐州医学院附属医院心胸外科,江苏徐州221002

出　　处：《徐州医学院学报》2014年第11期803-806,共4页Acta Academiae Medicinae Xuzhou

基　　金：国家自然科学基金（30672081）.

摘　　要：目的探讨全胸腔镜下肺癌根治术与传统开胸手术治疗临床Ⅰ、Ⅱ期非小细胞肺癌淋巴结清扫的效果。方法接受手术治疗的临床Ⅰ、Ⅱ期非小细胞肺癌患者199例，采用全胸腔镜手术患者105例（胸腔镜组），传统开胸手术患者94例（开胸组），比较2组患者的淋巴结清扫数，并分别比较2组患者各区域淋巴结的清扫数。结果2组淋巴结清扫数平均值及阳性率差异无统计学意义（P〉0．05）。根据术后病理分期比较淋巴结清扫数差异无统计学意义（P〉0．05）。左、右肺癌各区域淋巴结清扫数差异无统计学意义（P〉0．05）。结论对于临床Ⅰ、Ⅱ期非小细胞肺癌，全胸腔镜手术淋巴结清扫可以达到传统开胸手术的效果。Objective To explore the effect of lymph node dissection between video - assisted thoracoscopic surgery （VATS） and traditional thoracic surgery in radical ressection of non - small cell lung cancer （NSCLC）. Methods A total of 199 patients with NSCLC receiving surgical treatment were collected, among whom 105 were operated with VATS while another 94 with traditional thoracotomy lobectomy. Comparison of two groups of patients was made in the total number of lymph node dissection and the number of regional lymph node cleaning. Results There was no significant difference between VATS and traditional thoracotomy in the total number of lymph nodes dissection （ P 〉 0.05 ）. There was no significant difference between the two groups in the number of lymph nodes dissection of postoperative pathological assessment （P 〉 0.05 ）. There was no significant difference between left and right lung cancer in regional lymph node dissection （P 〉 0.05 ）. Conclusion Compared with traditional thoracotomy, VATS can achieve the same effect in lymph node dissection in the early and middle stages of NSCLC.

关 键 词：肺癌 全胸腔镜 传统开胸手术 淋巴结清扫 

分 类 号：R734.2[医药卫生—肿瘤]