摘要
目的 探讨单操作孔电视胸腔镜（single utility port video-assisted thoracic surgery）肺叶切除术治疗早期周围型非小细胞肺癌的临床效果。方法 回顾性分析2012年12月至2014年11月在河北北方学院附属第一医院行单操作孔VATS肺叶切除术治疗早期周围型非小细胞肺癌的46例患者的临床资料（VATS组）,其中男39例、女7例,年龄42-76（60.26±4.38）岁。同期58例早期周围型非小细胞肺癌患者行常规开胸手术（常规开胸组）,其中男47例、女11例,年龄44-73（61.42±3.67）岁。比较两组患者临床效果。结果 两组手术均获得成功,无围手术期死亡,其中VATS组术中出血量[（126.10±48.56）ml vs.（260.84±69.70）ml、术后胸腔引流量[（230.52±50.22）ml vs.（380.16±96.24）ml、术后住院时间[（6.42±1.40）ml vs.（9.64±2.08）ml],明显优于常规开胸组,两组差异有统计学意义（P〈0.05）。两组手术时间[（146.25±19.68）min vs.（139.26±25.39min）]、淋巴结清扫个数（13.56±2.31 vs.14.12±3.06）、术后并发症（13.0%vs.19.0%）差异无统计学意义（P〉0.05）。结论 单操作孔VATS肺癌根治术安全、可行,具有出血少、恢复快等优势且能达到常规开胸的规范化淋巴结清扫,是一种有发展前途的手术方式。
Objective To evaluate clinical outcomes of single utility port video-assisted thoracoscoplc surgery （VATS） lobectomy for patients with early-stage peripheral non-small cell lung cancer. Methods We retrospectively analyzed the clinical data of 46 consecutive patients with early-stage peripheral non-small cell lung cancer who underwent single utility port complete VATS lobectomy in the First Affiliated Hospital of Hebei North University from December 2012 through November 2014. There were 39 male patients and 7 female patients with their age of 42-76 （60.26±4,38） years （VATS group）. There were 58 patients with early-stage peripheral non-small cell lung cancer who underwent lobectomy via traditional thoracotomy including 47 male and 11 female patients with their age of 44-73 （61.42±3.67） years for the same period （conventional thoracotomy group）. Clinical outcomes were compared between the two groups. Results All the operations were successful. There was no conversions during single utility port VATS lobectomy, and no periopera- tive death in both groups. The VATS group had significantly less blood loss （126.10±48.56 ml vs. 260.84±69.70 ml）, and amount of thoracic drainage （230.52±50.22 ml vs. 380.16±96.24 ml, P〈0.05）. Hospital stay was significantly shorter in the VATS group than the conventional thoracotomy group （6.42±1.40 days vs. 9.64±2.08 days, P〈0.05）. However, there was no significant difference between the VATS group and the conventional thoracotomy group with regard to the opera- ting time （146.25± 19.68 minutes vs. 139.26±25.39 minutes）, number of lymph nodes procured （13.56±2.31 vs. 14.12±3.06）, and postoperative complications （13.0% vs. 19.0%, P〉0.05）. Conclusion Single utility port VATS lobectomy for patients with early-stage peripheral non-small cell lung cancer is technically for achieving acceptable standards of lymph node dissection. It is a feasible, with less blood loss and shorter hospital stays promising surgical procedures for patients with earlystage peripheral non-small cell lung cancer.
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2016年第12期1132-1135,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
河北省教育厅优秀青年基金资助项目(Y2012002)~~
关键词
肺叶切除术
肺癌
单操作孔
胸腔镜
Lobectomy
Lung cancer
Single utility port
Video-assisted thoracic surgery （VATS）
