摘要
目的探讨经胸腔镜肺癌切除术中行系统性淋巴结清扫术的价值。方法选择肺癌患者79例作为研究对象,根据手术方法的不同分为观察组40例与对照组39例。对照组给予经胸腔镜肺癌切除术,观察组给予经胸腔镜肺癌切除术中行系统性淋巴结清扫术,记录与随访2组预后情况。结果 2组手术时间、切口长度、术中出血量、术后引流量、术后引流时间与术后住院时间对比,差异无统计学意义(P> 0. 05)。观察组中淋巴结清扫组数为4～10个,平均为(6. 33±1. 33)组;清扫淋巴结枚数为8～50个,平均为(19. 88±4. 21)个。观察组术后1个月的血胸、腹腔感染、切口感染、肺部感染等并发症发生率为5. 0%,对照组为7. 7%,对比差异无统计学意义(P> 0. 05)。观察组术后6个月、12个月的复发率、死亡率都显著低于对照组(P <0. 05)。结论经胸腔镜肺癌切除术中行系统性淋巴结清扫术并不会增加手术创伤,也不会增加术后并发症的发生,且能降低患者的复发率与死亡率。
Objective To investigate the values of systemic lymph node dissection in thoracoscopic lung cancer resection.Methods 79 patients with lung cancer diagnosed were selected as subjects and were divided into the 40 patients in the observation group and 39 patients in the control group accorded to the different surgical methods.The control group were given thoracoscopic lung cancer,the observation group were given systemic lymph node dissection based on the control group,and the prognosis of the two groups were recorded and followed up.Results There were no significant difference in the operation time,length of incision,intraoperative blood loss,postoperative drainage,postoperative drainage time and postoperative hospital stay between the two groups(P>0.05).The number of lymph node dissections in the observation group were 4~10,with an average of 6.33±1.33;the number of lymph nodes cleared were 8~50,with an average of 19.88±4.21.The postoperative 6 months of incidences of complications such as hemothorax,abdominal infection,wound infection,and pulmonary infection were 5.0%in the observation group and so that were 7.7%in the control group,compared the difference were not statistically significant(P>0.05).The recurrence rates and mortality rates of the observation group at 6 months and 12 months after operation were significantly lower than those of the control group(P<0.05).Conclusion The systemic lymphadenectomy in thoracoscopic lung cancer resection does not increase the surgical trauma,and does not increase the incidence of postoperative complications,which can reduce the recurrence rate and mortality.
作者
侯强
杨滏宁
董南
李晓玲
马兵兵
郝清军
任宏
HOU Qiang;YANG Funing;DONG Nan(Institute of Weapons Industrial Hygiene(Weapons Industry 521 Hospital),Xi'an,710065)
出处
《实用癌症杂志》
2019年第4期607-610,共4页
The Practical Journal of Cancer
关键词
胸腔镜
肺癌
系统性淋巴结清扫
并发症
Thoracoscopy
Lung cancer
Systemic lymph node dissection
Complications
