胸腔镜辅助小切口治疗早期周围型肺癌的研究

Clinical study of VATS assisted small incision in resection of early peripheral lung cancer

目的探讨电视胸腔镜手术治疗早期周围型肺癌的疗效。方法回顾2001年9月至2004年12月期间行VATS肺叶切除及纵隔淋巴结清扫术治疗的26例早期周围型肺癌患者(VATS组)的临床资料,与同期行传统开胸手术治疗的28例早期周围型肺癌患者(对照组)做比较分析。结果VATS组和对照组术后1、3年生存率分别为100%、92.3%和100%、92.9%,差异无统计学意义(P>0.05)。结论早期周围型肺癌行VATS肺叶切除及纵隔淋巴结清扫术可取得与传统开胸术同样好的远期疗效。

Objective To investigate the therapeutic value of video-assisted thoracoscope surgery in early peripheral lung cancer treatment. Methods The clinical datum of 26 patients with early peripheral lung cancer received VATS pulmonary lobectomy and mediastinal lymph node resection were reviewed and compared with other 28 cases of early peripheral lung cancer receiving pulmonary lobectomy through thoracotomy from September 2001 to December 2004. Results In two groups, the one year and three year postoperative survival rates were 100% ,92. 3% and 100% , 92.9%, respectively. There was no significant difference （ P 〉 0.05 ）. Conclusion Early peripheral lung cancer treated with pulmonary lobectomy and mediastinal lymph node resection by VATS can gain the same long term efficacy as the pulmonary lobectomy through thoracotomy.