全胸腔镜下肺叶切除术治疗早期非小细胞肺癌的临床分析  

Clinical Analysis of Completely Thoracoscopic Lobectomy for Early Stage Non-small-cell Lung Cancer

作　　者：李仲明 岳鹏 张瑜[3] 韩彪[3] 马敏杰[3] 杨侃[3] 谭恩丽[4] 

机构地区：[1]兰州大学第二医院西固医院综合外科,甘肃兰州730000 [2]兰州大学第一临床医学院,甘肃兰州730000 [3]兰州大学第一医院胸外科,甘肃兰州730000 [4]兰州大学第一医院老年病三科,甘肃兰州730000

出　　处：《中国医药指南》2017年第32期3-4,共2页Guide of China Medicine

基　　金：甘肃省省青年科技基金计划项目(编号:1606RJYA282;1606RJYA283);甘肃省自然科学基金项目(编号:1606RJZA146;1606RJZA129;1208RJZA137;2009GS01819);兰州市科技厅项目(编号:2016-7-10)

摘　　要：目的探讨全胸腔镜与传统开胸行肺叶切除术治疗早期非小细胞肺癌的疗效。方法纳入2012年1月至2016年12月在我科诊治的40例早期非小细胞肺癌患者,按照手术方式分为胸腔镜组和对照组(传统开胸手术),观察两组的手术治疗效果。结果胸腔镜组所有患者均未中转开胸。胸腔镜组和对照组在手术时间、淋巴结扫除组数、并发症方面差异无统计学意义(P>0.05),但在术中出血量、引流时间、引流量、疼痛评分、住院时间上,胸腔组优于比传统组(P<0.05)。结论全胸腔镜下肺叶切除术治疗早期非小细胞肺癌,具有创伤小、出血量少、恢复快、住院时间短等优点,值得进一步推广使用。Objective To investigate the safety and feasibility of the completely thoracoscopic lobectomy in early stage non-small-cell lung cancer（NSCLC）. Methods Forty patients with early stage NSCLC undergoing completely thoracoscopic lobectomy between January 2012 and December 2016 were divided into two groups based upon operating methods. The efficacy of surgery treatment in the thoracoscopic group and thoracotomy group was observed. Results There was no patients receiving thoracoscopic lobectomy conversion to open thoracotomy. Compared with conventional thoracotomy group, the thoracoscopic group reduced intra-operative blood loss, chest drainage time, quantity of chest drainage, pain score, and hospital length of stay（P〈0.05）. However, there was no difference in operation time, the number of lymph node dissection and complications between the two groups（P〈0.05）. ConclusionsThe completely thoracoscopic lobectomy for early stage NSCLC patients is a safe and feasible surgical procedure with minimal invasiveness, less bleeding, fast recovery, and shorter hospital stay. It is worth further researching and widely using on clinic.

关 键 词：胸腔镜 肺叶切除术 非小细胞肺癌 

分 类 号：R734.2[医药卫生—肿瘤]