全腔镜下肺癌根治术52例报告

Video-assisted thoracoscopic lobectomy for lung cancer in 52 cases

摘要:

目的：探讨全腔镜肺癌根治术的临床经验。方法：从2009年1月-2011年1月我们在全腔镜下完成肺癌根治术52例。52例患者，男，38例，女14 例，年龄38～72 岁。平均58岁。手术方法是在全腔镜下完成肺叶切除和系统性淋巴结清扫。结果：5例因胸腔粘连2例因术中出血而中转辅助小切口。全组手术时90～240 min，平均120 min，术中出血50～300 ml，平均120 ml。淋巴结切除7～19枚，平均14.8枚。术后住院6～10 d，平均7 d。2例因术中出血而中转辅助小切口。术后无肺部感染、肺功能不全。所有患者均顺利出院。结论：全腔镜进行肺癌根治术，最大限度的减小创伤及并发症，肿瘤切除、淋巴结清扫情况与其他手术方法没有明显差别，且安全可行。

Abstract:

Objective：To review the clinical experience of video-assisted thoracoscopic lobectomy for lung cancer. Methods：From January 2009 to January 2011，52 patients with lung cancer underwent VATS lobectomy.Among them，38 were males and 14 were fe－males，aged 38~72 years old.The average age was 58.Video-assisted thoracoscopic surgical approach included lobectomy and lymph node dissection. Results：Because of 5 cases of pleural adhesion and 2 cases of bleeding，VATS was converted to transit-assisted small incision.All operative time was 90～240 min，with an average of 120 min. Intraoperative bleeding volume was 50～300 ml，with an average of 120 ml.7～19 pieces of lymph nodes were removed，with an average of 14.8. The length of hospital stay was 6～10 days，with an average of 7 days. Postoperative complications：there were no postoperative chylothorax，lung infection，or respiratory insuffi－ciency. Conclusion：VATS lobectomy for lung cancer is a feasible operation with minimal invasion and fewer perioperative compli－cations，whose effect is comparable to thoracotomy lobectomy.