单操作孔胸腔镜肺叶切除术与胸腔镜辅助小切口手术治疗早期NSCLC疗效对比观察  

Efficacy comparison of single utility port thoracoscopic lobectomy with video-assisted mini-thoracotomy in patients with early non-small cell lung cancer

作　　者：邓珊明[1] 闫增荣[1] 童稳圃[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院胸外科,上海200437

出　　处：《临床和实验医学杂志》2015年第5期393-395,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的对比观察单操作孔胸腔镜肺叶切除术(SP-VATS)与胸腔镜辅助小切口(VAMT)手术治疗早期非小细胞肺癌(NSCLC)的临床疗效。方法选择76例早期NSCLC患者,分为研究组和对照组,其中研究组采用SPVATS(32例),对照组采用VAMT(44例)术,观察两组手术结果和并发症发生率。结果研究组术中总出血量、术后引流量和术后引流总时间、术后下床活动时间均显著小于对照组,差异有统计学意义(P<0.05)。两组在手术总时间、淋巴结清扫个数比较中无统计学差异(P>0.05)。两组并发症的总发生率比较无统计学差异(P>0.05)。结论 SPVATS治疗早期NSCLC患者较VAMT具有出血少、术后恢复快的优点,值得临床推广。Objective To compare the efficacy of single utility port thoracoscopic lobectomy（ SP-VATS）with video-assisted mini-thoracotomy（ VAMT）in patients with early non-small cell lung cancer（ NSCLC）. Methods Seventy-six patients with early stage NSCLC were collected and divided into SP-VATS group（32 cases）and VAMT group（44 cases）. The surgical results and complication rates were observed. Results In comparison with VAMT group,reduced total intraoperative blood loss,and the amount and the total time of postoperative drainage, and earlier postoperative ambulation were observed in SP-VATS group（ P ﹤0. 05）. There were no significant differences in the total time of the surgery and the number of lymph node dissected between the two groups（ P ﹥0. 05）. There was no significant difference in the overall incidence of complications between the two groups（ P ﹥0. 05）. Conclusion SP-VATS lobectomy for early NSCLC patients has less bleeding and faster recovery than VAMT.

关 键 词：非小细胞肺癌 单操作孔胸腔镜肺叶切除术 胸腔镜辅助小切口 

分 类 号：R734.2[医药卫生—肿瘤]