摘要
目的：探讨全胸腔镜手术（VATS）肺癌根治术的临床应用价值.方法：VATS行肺癌根治术21例,其中右上肺癌6例,右中肺癌2例,右下肺癌4例;左上肺癌5例,左下肺癌4例,并同时进行肺门及纵隔淋巴结清扫.结果：21例无一例中转进胸,手术时间90~250分min,术中出血量50~600 ml,术后胸腔闭式引流2~4 d.随访2~36个月,21例均成活.术后3个月、6个月、1年复查胸部CT、ECT均未发现明显复发和转移.结论：VATS肺癌根治术技术可靠,安全、有效,出血少,恢复快.
Objective：To explore the clinical value of video-assisted thoracoscopic sugery （VATS） in the treatment of lung carcer. Methods：Among 21 patients with radical operation of lung cancer, right-npper lung cancer in 6 cases, right-middle lung cancer in 2 cases, right-low lung cancer in 4 cases;left-upper lung cancer in 5 cases and left-low lung cancer in 4 cases were found. The lymph nodes in hilus pulmonis and mediastinum of all patients were cleaned. Results：None was thoracotomy, the operation time was 90 to 250 minutes, the utes intraoperative blood loss was 50 to 600 ml and the closed drainage time was 2 to 4 days. Twenty-one patients lived after following up for 2 to 36 months. The recurrence and metastasis were not found by CT and ECT at 3,6 and 12 months after operation. Conclusions：VATS in the treatment of lung carcer is reliable, safe, fast recovering and less bleeding, but a little expensive.
出处
《蚌埠医学院学报》
CAS
2014年第1期72-74,共3页
Journal of Bengbu Medical College
关键词
肺肿瘤
胸腔镜
根治术
lung neoplasms
thoracoscopy
radical operation
