电视胸腔镜在早期周围型肺癌手术中的应用

Clinical application of video-assisted thoracoscope in early-stage peripheral lung cancer surgery

目的探讨电视胸腔镜手术(VATS)在早期肺癌手术中的临床价值。方法应用VATS辅助小切口对20例肺周围小结节行肿物楔形切除术,术中快速病理冰冻切片检查,对确诊为早期周围型肺癌者术中同时行肺癌根治术,术后不加辅助治疗。结果术中确诊17例早期肺癌患者,均以VATS辅助小切口行肺叶切除及系统纵隔淋巴结清扫,随访未有局部复发及远处转移。结论VATS在早期周围型肺癌的手术治疗中可获得与传统常规开胸手术同样的治疗效果,而且具有手术创伤小、恢复快、不良反应少等优点。

Objective It is to study the clinical value of video-assisted thoracoscope surgery （VATS） in early-stage peripheral lung cancer surgery, Methods 20 patients with pneumonic acroteric tubercle were operated with pulmonary wedge resection under VATS plus small incision. Pathological tacho-frozen section test was performed during the operation. The patients who were diagnosed as peripheral lung cancer were operated with lung cancer radical correction at the same time without adjunctive therapy after the surgery. Results 17 cases of patients with early-stage lung cancer were diagnosed during the surgery and operated with pulmonary lobe ectomy and mediastina lymph node dissection under VATS plus small incision. No local recurrence and metastasis were found during following time. Conclusion VATS has the same curative effect as traditional open surgery in early-stage peripheral lung cancer with less surgical trauma, faster convalescence and less untoward reaction.