胸腔镜解剖性肺段切除在治疗肺部小结节中的应用  

Complete video-assisted thoracoscopic anatomic segmentectomy for small pulmonary nodule

作　　者：庞景灼[1] 巫国勇[2] 叶敏[1] 庞文广[1] 

机构地区：[1]江门市中心医院胸外科,529030 [2]中山大学第一附属医院胸外科,广州510000

出　　处：《国际医药卫生导报》2015年第15期2156-2158,共3页International Medicine and Health Guidance News

摘　　要：目的探讨胸腔镜解剖性肺段切除在治疗肺部小结节中的安全性和可行性。方法回顾分析2010年2月至2014年2月于我院行胸腔镜解剖性肺段切除治疗直径小于2cm的肺部结节的47例患者的临床资料。分析统计手术时间、出血量、术后胸管停留时间、术后住院时间、手术费用，观察术后并发症发生情况，术后复查情况。结果手术时间110～245min，平均146min，术中出血量50～950ml，平均233ml。术后胸管引流时间2～11天，平均3．7天；术后住院时间4，13天，平均7．3天。未发现围手术期死亡病例。结论胸腔镜解剖性肺段切除是一种安全有效的方法，在治疗直径小于2cm的肺结节中的应用将会越来越广泛。Objective To evaluate the safety and feasibility of complete video-assisted thoracoscopic anatomic segmentectomy for small pulmonary nodule. Methods The clinical data of 47 patients receiving complete video-assisted thoracoscopic anatomic segmentectomy for small pulmonary nodule whose diameter less than 2 cm were retrospectively analyzed. The operation time, bleeding volume, chest tube drainage duration, and operation cost were statistically analyzed. The incidences of complications after surgery and post-operative rechecking conditions were observed. Results The operatiion time was 110-245 minutes, with a mean of 146 minutes; the intreoperative bleeding volume was 50-950 ml, with a mean of 233 ml; the chest tube drainage duration was 2-11 days, with a mean of 3.7 days; the postoperative hospitalization time was 4-13 days, with a mean of 7.3 days; no case died during pert-operation period. Conclusions Complete video-assisted thoracoscopic anatomic segmentectomy is a feasible and safe technique and will be widely used for small pulmonary nodule whose diameter less than 2 cm.

关 键 词：胸腔镜 解剖性肺段切除 肺小结节 

分 类 号：R563[医药卫生—呼吸系统]