无抓持整块纵隔淋巴结清扫技术在胸腔镜肺癌根治手术中的应用  

Application of Grafting Mediastinal Lymph Node Dissection without Grasp in Thoracoscopic Radical Surgery for Lung Cancer

作　　者：黄豪达[1] 张志锋[1] 洪祎纯[1] 蔡南[1] 黄加铭 HUANG Hao-da;ZHANG Zhi-feng;HONG Yi-chun;CAI Nan;HUANG Jia-ming(Department of Thoracic Surgery,Jieyang People's Hospital,Jieyang,Guangdong Province,522000 China)

机构地区：[1]揭阳市人民医院胸心外科,广东揭阳522000

出　　处：《中外医疗》2020年第18期59-61,共3页China & Foreign Medical Treatment

摘　　要：目的探讨胸腔肺癌根治手术中,应用无抓持整块纵隔淋巴结清扫技术的安全性、可行性及技术要点。方法回顾性分析2017年6月—2019年6月在该院进行胸腔镜下肺叶切除术贯续无抓持整块纵隔淋巴结清扫的78例患者的临床资料。男性51例,女性27例,平均年龄(60.5±6.8)岁。无抓持整块清扫左侧纵隔淋巴结33例,右侧45例,对比两组患者的手术时间、淋巴结清扫数目、引流管留置时间、引流量及住院时间。结果全组78例患者均完成胸腔镜肺叶切除术序贯无抓持整块纵隔淋巴结清扫。平均手术时间(125±17.4)min。清扫淋巴结的数目平均(16.5±6.7)个。手术后胸腔引流管留置的时间平均(4.5±2.5)d,术后平均胸液引流量为(524±108)mL。术后住院时间平均(6.7±1.5)d。结论胸腔镜手术中使用无抓持淋巴结清扫技术是安全可行的,相较传统的抓持技术更适用于在胸腔镜下应用。Objective To summarize the safety,feasibility and technical points of the technique of grasping the whole mediastinal lymph node dissection without grasping in thoracic lung cancer radical surgery.Methods The clinical data of 78 patients who underwent thoracoscopic lobectomy underwent thoracoscopic lobectomy without grasping the entire mediastinal lymph node in our hospital from June 2017 to June 2019 were retrospectively analyzed.There were 51 males and 27 females,with an average age of(60.5±6.8)years.33 cases of left mediastinal lymph nodes were cleaned without grasping the whole block,and 45 cases on the right side.The operation time,number of lymph node dissection,drainage tube retention time,drainage volume and hospitalization time were compared between the two groups.Results All 78 patients in the group completed thoracoscopic lobectomy without dissecting the entire mediastinal lymph node without grasping.The average operation time was(125±17.4)min.The average number of lymph nodes dissected was(16.5±6.7).The average time of thoracic drainage tube indwelling after operation was(4.5±2.5)d,and the average pleural drainage volume after operation was(524±108)mL.The average postoperative hospital stay was(6.7±1.5)d.Conclusion It is safe and feasible to use non-grip lymph node dissection technique in thoracoscope surgery.Compared with traditional grasping technique,it is more suitable for application under thoracoscopy.

关 键 词：胸腔镜 纵隔淋巴结清扫 非小细胞肺癌 

分 类 号：R5[医药卫生—内科学]