单孔胸腔镜下解剖性肺段切除术30例非小细胞肺癌临床分析  

Uniportal Video-Assisted Thoracoscopic Anatomical Segmentectomy in Treatment of 30 Cases with Non-small Cell Lung Cancer

作　　者：徐小方[1] 刘金石[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《肿瘤学杂志》2017年第7期606-609,共4页Journal of Chinese Oncology

摘　　要：[目的]分析单孔胸腔镜下解剖性肺段切除术在治疗Ⅰ期外周型非小细胞肺癌的可行性及安全性。[方法]回顾性分析2013年1月至2016年10月浙江省肿瘤医院30例诊断为Ⅰ期外周型非小细胞肺癌行单孔胸腔镜下解剖性肺段切除术的患者临床资料,平均年龄68.3岁,术前患者肺功能FEV1实测值/预计值平均为60.13%(43%~112.8%),术前胸部CT示肿瘤直径≤2.0cm。[结果]30例肺癌患者成功施行了单孔胸腔镜下解剖性肺段切除术,无增加辅助腔镜切口,无中转开胸,无中转行肺叶切除,无术后并发症及无围手术期死亡。平均手术时间110.7±30.5min,平均术中出血量93.5±30.5ml,术后胸腔引流管留置时间平均为3.5±2.1d,术后住院时间平均为6.5±1.6d,术中清扫淋巴结数平均为8.8±2.5枚。30例患者平均随访时间20.7(2~39)月,30例患者皆为无瘤生存,未发生转移或复发。[结论]单孔胸腔镜下解剖性肺段切除术治疗Ⅰ期外周型非小细胞肺癌是可行且安全的。[Objective] To evaluate the efficacy and safety of uniportal video-assisted thoraco- scopic anatomical segmentectomy for the treatment of stage- I peripheral non-small cell lung can- cer（NSCLC）. [Methodsl We retrospectively analyzed 30 patients who received uniportal video-as- sisted thoracoscopic anatomical segmentectomy in Zhejiang Cancer Hospital from January 2013 to October 2016. There were 16 male and 14 female patients with a mean age of 68.3（55-83） years- old. The patients preoperative lung ruction mean FEV1 measured value/predicted value was 60.13% （43%-112.8% ）,the diameter of the mass of the preoperative HRCT was less than 2 cm. [Resuhs] All the 30 patients underwent uniportal video-assisted thoracoscopic anatomical seg- mentectomy successfully without adding another portal or conversion to thoracoctomy and lobec- tomy. No postoperative complications or perioperative mortality occurred. The operative time was 110.7±30.5 min. The blood loss was 93.5±30.5ml. The chest robes maintained in position for 3.5± 2.1d. The mean postoperative hospitalization time was 6.5±1.6d. The number of lymph node dissection was 8.8±2.5. The mean follow-up was 20.7 （2-39） months,all the 30 patients survived without tumor,no one showed metastasis or recurrence. [Conclusion] Uniportal video-assisted thoracoscopic anatomical segmentectomy is a feasible and safe technique to be used for peripheral non-small cell lung cancer（NSCLC） stage I .

关 键 词：单孔胸腔镜 解剖性肺段切除 非小细胞肺癌 

分 类 号：R734.2[医药卫生—肿瘤]