摘要
目的探讨胸腔镜辅助小切口治疗肺癌的的疗效,安全性和可靠性。方法选取2010年3月~2011年10月苏州大学附属张家港医院收治的116例（男76例,女40例）肺癌患者,观察组58例行胸腔镜辅助小切口治疗,手术通过胸部3~4个微小切口镜视或直视下完成,均为解剖性肺叶切除,同时施行淋巴结清扫;另选择同期行传统开胸手术治疗的58例肺癌患者作为对照组,观察2组的治疗情况。结果 2组患者均顺利完成手术,并在手术时间、术中肺叶切除及淋巴结清扫上比较,差异无统计学意义;但观察组术中出血量、住院天数、并发症发生率等情况明显少于对照组,差异有统计学意义（P〈0.05）。结论胸腔镜辅助小切口行肺叶切除术＋纵隔淋巴结清扫是胸腔镜初学者治疗早期肺癌比较安全的术式,随着经验积累,可逐渐过渡至完全胸腔镜下肺癌根治术。
Objective To observe the balance between clinical efifciency and safety on patients with pulmonary lobectomies after Video-assisted mini-thoracotomy(VAMT). Methods In March 2009 to October 2010, our hospital, a total of 58 cases of thoracoscope assisted small incision to treat lung cancer as observation group, the operation through the chest of 3 to 4 small incision mirror or look complete, all are anatomical lobectomy, the lymph node implementation at the same time, choose another line at the same time traditional thoracotomy surgical treatment of 58 cases of lung cancer patients as control group, observe two groups of treatment. Results Two groups of patients were successfully operated, two groups of patients in the operative time, intraoperative upper lobectomy and lymph node dissection was no signiifcant difference;But the observation group blood loss, hospital stay, complication rate and so signiifcantly less than the control group (P<0.05). Conclusion For thoracoscopic surgery beginers, Video-assisted mini-thoracotomy pulmonary lobectomy is a safe and effective procedure in terms of early stage of lung cancer.If more experience gained, the beginers can gradually perform video-assisted thoracoscopic surgery in radical operation.
出处
《当代医学》
2014年第28期17-18,共2页
Contemporary Medicine
