全胸腔镜交互式左全肺切除及系统性淋巴结清扫流程  

Total Thoracoscopic Interactive Pneumonectomy with Systematic Lymph Nodes Dissection

作　　者：王国勇[1] 董祎楠 孙楠[2] 任翼[2] 张亮[2] 李继佳[2] 刘永煜[2] 

机构地区：[1]调兵山市铁法煤业集团总医院,辽宁调兵山112700 [2]辽宁省肿瘤医院,大连医科大学临床肿瘤学院,辽宁沈阳110042

出　　处：《中国肿瘤》2015年第3期250-252,共3页China Cancer

摘　　要：[目的]介绍全胸腔镜交互式左全肺切除及系统性淋巴结清扫的手术路径及流程。[方法]2014年4～11月采用全胸腔镜交互式左全肺切除及系统性淋巴结清扫5例左肺中心型肺癌患者，此手术方式的特点是将左肺大血管的解剖和淋巴结的清扫穿插交合在一起，使两个独立的手术步骤合为一体。[结果]5例患者均取得手术成功，无术后支气管胸膜瘘，无围手术期死亡，无术后肺内感染。[结论]全胸腔镜交互式左全肺切除及系统性淋巴结清扫的手术方式使复杂的胸腔镜下左全肺切除的过程更加趋于简捷，便于学习和掌握。[ Purpose ] TO introduce a novel surgical approach and process for the total thoracoscop- ic left pueumoneetomy with systematic lymph nodes dissection. [Methods] The unique feature of this technique was the integration of the left main pulmonary vessels mobilization and systematic lymph nodes dissection ,by alternating these two traditional separate surgical steps. From April to November 2014,5 patients with central lung carcinoma underwent this procedure. [Reslults] All the operations completed successfully,without any postoperative bronchopleural fistula,periopera- tire death, and postoperative lung infection. [Conclusions] This integrated surgical technique with systematic lymph nodes dissection simplifies and speeds up the complicated total thoracoscopic pneumonectomy, and makes easy to learn and master.

关 键 词：胸腔镜 非小细胞肺癌 交互式 全肺切除术 

分 类 号：R734.2[医药卫生—肿瘤]