胸腔镜手术与传统开胸手术的右肺癌纵隔及肺门淋巴结清扫的对比  

Comparison of lymph node dissection in the region of hilar and mediastinum on right lateral non-small-cell lung cancer between thoracoscopy and thoracotomy lobectomy

作　　者：孙晓宏[1] 蒋威华[1] 罗洞波[1] 吴振华[1] 孙伟[1] 

机构地区：[1]新疆医科大学附属肿瘤医院胸外科,乌鲁木齐830011

出　　处：《新疆医科大学学报》2015年第7期869-871,共3页Journal of Xinjiang Medical University

基　　金：国家自然科学基金(81350021)

摘　　要：目的：探讨胸腔镜右肺非小细胞肺癌淋巴结清扫的有效性与彻底性。方法回顾性分析2010年1月-2014年6月在新疆医科大学附属肿瘤医院胸外科接受手术切除的右肺非小细胞肺癌患者107例，其中胸腔镜手术59例（胸腔镜组），传统开胸手术48例（传统开胸组），对比2种手术淋巴结清扫总数及各区域淋巴结清扫个数的差异。结果胸腔镜组淋巴结清扫总数为（15．12±1．15）个，传统开胸组为（15．44±1．11）个，差别无统计学意义（t ＝－1．452，P ＝0．149）；胸腔镜组2～4组淋巴结清扫数为（4．42±1．18）个，传统开胸组为（4．35±0．99）个，差别无统计学意义（t ＝0．325，P ＝0．746）；胸腔镜组7组淋巴结淋巴结清扫数为（3．93±0．87）个，传统开胸组为（3．65±0．73）个，差别无统计学意义（t ＝1．821，P ＝0．071）；胸腔镜组10组淋巴结清扫数为（4．20±0．85）个，传统开胸组为（4．08±0．85）个，差别无统计学意义（t ＝0．730，P ＝0．467）。结论右肺非小细胞肺癌胸腔镜淋巴结清扫效果与传统开胸手术清扫效果相同。Objective To explore the effectiveness and thoroughness of lymph node dissection on right lat-eral non-small-cell lung cancer patients who underwent thoracoscopy lobectomy plus systemic mediastinal lymph node dissection.Methods 107 surgical cases of right non-small-cell lung cancer from January,2010 to June,2014 were retrospectively analyzed,59 patients in thoracoscopy group and 48 patients in thoracot-omy group.The total number of dissected lymph node and the number of lymph node from 2nd-4th,7th and 10th mediastinal lymph node station were compared respectively to testify whether a statistical differ-ence existed or not between these two groups.Results The total number of lymph node was （15.12 ± 1.15）in thoracoscopy group and （15.44±1.11）in thoracotomy group,and no statistical difference was ob-tained after comparison （t =-1.452,P =0.149）.The number of lymph node from 2nd-4th station was （4.42±1.18）in thoracoscopy group and （4.35±0.99）in thoracotomy group,and there was no statistical difference （t =0.325,P =0.746）.The number of lymph node from 7th station was （3.93±0.87）in thora-coscopy group and （3.65±0.73）in thoracotomy group,and there was no statistical difference either （t =1.821,P =0.071）.The number of lymph node from 10th station is （4.20±0.85）in thoracoscopy group and （4.08±0.85）in thoracotomy group,and there was no statistical difference （t = 0.730,P =0.467）.Conclusion The efficacy of mediastinal lymph node dissection is same for right non-small-cell lung cancer in thoracoscopy or thoracotomy lobectomy group.

关 键 词：非小细胞肺癌 胸腔镜 淋巴结清扫 

分 类 号：R734[医药卫生—肿瘤]