胸腔镜肺叶切除治疗肺癌的体会  

VIDEO-ASSISTED THORACOSCOPIC SURGERY LOBECTOMY FOR PRIMARY LUNG CANCER

作　　者：田燕[1] 王宇飞[1] 张满[1] 马英[1] 李春林[1] 鲁志刚[1] 黄少君[1] 孙嘉阳[1] 靳智勇[1] 康世荣[1] 梁俊国[1] 郭占林[1] TIAN Yan WANG Yu-fei ZHANG Man et al(Affiliated Hospital, Inner Mongolia Medical University, Huhhot 010050 China)

机构地区：[1]内蒙古医科大学附属医院胸外科,内蒙古呼和浩特010050

出　　处：《内蒙古医科大学学报》2016年第4期298-300,306,共4页Journal of Inner Mongolia Medical University

基　　金：内蒙古自治区科技计划项目(kjt15sf02);内蒙古自治区卫生和计划生育委员会医疗卫生科研计划项目(201301057)

摘　　要：目的：探讨胸腔镜肺叶切除术治疗肺癌的应用。方法：2009-03～2015-12内蒙古医科大学附属医院共行胸腔镜肺癌肺叶切除172例,男101例,女71例,平均年龄55.9（40～81）岁。完成胸腔镜单纯肺叶切除165例,右肺中、下叶切除5例,右肺上叶切除并下叶背段切除1例,右肺上叶袖状切除1例,同时行淋巴结清扫术。结果：围手术期死亡1例,无支气管胸膜瘘及二次手术者;5例病人中转开胸,余均在腔镜下顺利完成手术。结论：胸腔镜肺叶切除术治疗肺癌安全、可行。Objective： To discuss the feasibility and safety of video-assisted thoracoscopic surgery（ VATS） lobectomy in the treatment of lung cancer. Methods： From March 2009 to December 2015,we performed 172 VATS lobectomies in 71 women and 101 men,with a mean age of 55. 9 years. The clinical data of all patients were analyzed. Results： There were 1 postoperative death,others were discharged without severe complications. VATS was successfully performed in 167 patients,while a conversion to open thoracotomy was made in 5 patients. Conclusion： VATS lobectomy is a safe and feasible method in the treatment of lung cancer.

关 键 词：胸腔镜手术 肺癌 肺叶切除 

分 类 号：R655.3[医药卫生—外科学]