“无抓持”系统性肺门纵隔淋巴结清扫在单操作孔肺癌根治术中的应用  

Application of"non-grasping"systemic hilar mediastinal lymph node dissection for uniportal radical operation of lung cancer

作　　者：蔡南[1] 张志锋[1] 洪祎纯[1] CAI Nan;ZHANG Zhifeng;HONG Yichun(Department of Thoracic and Cardiovascular Surgery,Jieyang City People's Hospital in Guangdong Province,Jieyang522000,China)

机构地区：[1]广东省揭阳市人民医院胸心外科,广东揭阳522000

出　　处：《中国现代医生》2020年第12期54-56,60,共4页China Modern Doctor

摘　　要：目的探讨“无抓持”系统性纵隔淋巴结清扫在单操作孔肺癌根治术中的应用。方法选取2019年1~12月在我院进行肺癌治疗的94例患者为研究对象,随机分为研究组与对照组。研究组采用单操作孔胸腔镜操作并进行“无抓持”系统性纵隔淋巴结清扫,对照组采用常规的单操作孔胸腔镜操作,不要求避免钳夹淋巴结。比较两组的临床指标、术后并发症及淋巴结清扫情况。结果两组各项临床指标均无较大差异(P>0.05);术后并发症及淋巴结清扫情况也无较大差异(P>0.05)。结论对肺癌患者进行单操作孔胸腔镜手术的过程中采用“无抓持”技术进行系统性肺门纵隔淋巴结清扫,操作方便、快捷及安全,并符合外科肿瘤原则,值得推广。Objective To investigate the application of"non-grasping"systemic mediastinal lymph node dissection in the uniportal radical operation of lung cancer.Methods A total of 94 lung cancer patients who were treated in our hospital from January 2019 to December 2019 were selected as study subjects,and they were randomly divided into the study group and the control group.The study group was given uniportal thoracoscopy plus"non-grasping"systemic mediastinal lymph node dissection,while the control group was given a conventional uniportal thoracoscopy to remove the lymph nodes.The clinical indicators,postoperative complications,and lymph node dissection were compared between the two groups.Results There were no significant differences in clinical indicators between the two groups(P>0.05);there were no significant differences in postoperative complications and lymph node dissection(P>0.05).Conclusion In the course of uniportal thoracoscopy surgery for lung cancer patients,the application of"non-grasping"systemic mediastinal lymph node dissection features ease of use,speediness,and high safety,and is in line with the principles of surgical tumors,which is worthy of promotion.

关 键 词：无抓持 肺门纵隔淋巴结清扫 单操作孔 肺癌根治术 

分 类 号：R655[医药卫生—外科学] R734.2[医药卫生—临床医学]