单孔胸腔镜精准肺段切除术治疗早期非小细胞肺癌  

A clinical study of single-port thoracoscopic precision segmentectomy for early non-small lung cancer

作　　者：王晨 姜静远 张乐宁[1] 许哲男[1] 张哲[1] 冯崇 张川[2] 林风武[1] WANG Chen;JIANG Jingyuan;ZHANG Lening;XU Zhenan;ZHANG Zhe;FENG Chong;ZHANG Chuan;LIN Fengwu(China-Japan Union Hospital,Jilin University,Changchun 130033,China;The First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学中日联谊医院,长春130033 [2]吉林大学第一医院,长春130021

出　　处：《长春中医药大学学报》2022年第12期1384-1388,共5页Journal of Changchun University of Chinese Medicine

基　　金：吉林省科技厅课题(20190303153SF,20200708109YY)。

摘　　要：目的观察单孔胸腔镜下不同手术方式治疗早期非小细胞肺癌差异,探究早期非小细胞肺癌精准肺段切除术的安全性及可行性。方法选取手术治疗的180例早期非小细胞肺癌患者,按手术方式的不同分为A组(单孔胸腔镜肺叶切除术组)、B组(单孔胸腔镜精准肺段切除术组)、C组(单孔胸腔镜肺楔形切除组),各60例。统计各组临床学统计指标与患者术后并发症发生情况。结果A组手术时间较B组短,但B组术后引流量与手术过程中出血量多于A组(P<0.05);C组术后住院时间、淋巴结清扫数目及淋巴结清扫站数统计学指标均优于A组、B组(P<0.05);A组术后肺功能损伤较B组、C组严重(P<0.05);A组术后并发症发生比例高于B组(P>0.05);B组术后并发症发生率高于C组(P>0.05)。结论单孔胸腔镜精准肺段切除术治疗早期非小细胞肺癌安全,患者术后疼痛反应轻微,肺功能损伤较小,术后并发症发生率较低,有利于患者康复。Objective To observe the differences between different surgical methods under the single-port thoracoscope in the treatment of early non-small cell lung cancer,and to explore the safety and feasibility of precision segmentectomy for the disease.Methods A total of 180 patients hospitalized in China-Japan Union Hospital of Jilin University from June 2019 to August 2020 were selected and divided into three groups according to their different surgical methods:group A(single-port thoracoscopic lobectomy group),group B(single-port thoracoscopic precision segmental pulmonary resection group),and group C(single-port thoracoscopic wedge pulmonary resection group).The clinical statistical indexes and the incidence of postoperative complications in each group were counted.Results The operation time in group A was shorter than that in group B,but the postoperative drainage and blood loss during operation in group B were more than those in group A(P<0.05).The postoperative hospital stay,number of lymph node dissection and number of lymph node dissection stations in group C were better than those in group A and group B(P<0.05).The postoperative lung function injury in group A was more serious than that in group B and C(P<0.05).The incidence of postoperative complications in group A was higher than that in group B(P>0.05),and the incidence of postoperative complications in group B was higher than that in group C(P>0.05),yet with no statistical differences.Conclusion The single-port thoracoscopic precision segmental pulmonary resection is safe for the treatment of early NSCLC,with mild postoperative pain responses,less lung function injuries,and a lower incidence of postoperative adverse complications,which is conducive to the early recovery of patients.

关 键 词：早期非小细胞肺癌 单孔胸腔镜 肺段切除术 肺叶切除术 

分 类 号：R734[医药卫生—肿瘤]