电视胸腔镜辅助小切口周围型肺癌切除的临床应用

Clinical Application of Peripheral Lung Cancer with Video-assisted Thoracoscopic Mini-invasive Lobectomy

目的探讨胸腔镜辅助小切口治疗肺癌的临床意义。方法2001年1月-2007年9月,共进行胸腔镜辅助小切口治疗周围型肺癌17例,其中女性11例(64.7%),男性6例(35.3%),患者平均年龄61岁,术后诊断腺癌12例,鳞癌2例,肺部转移性肿瘤3例。解剖性肺叶切除15例,非解剖性肺叶切除2例。内镜加直视下纵隔淋巴结清扫。结果2例患者术中转为开胸手术,15例手术顺利完成。手术时间85～165min,平均110min。胸管放置时间2～4d,平均3d。住院时间7～9d,平均8天。结论电视胸腔镜辅助小切口治疗周围型肺癌是一种完全可行并且安全的手术方法。

Objective To assess the value of video- assisted thoracoscopic mini -invasive lobectomy in the treatment of peripheral lung cancer. Methods From January 2001 to September 2007, we performed on 17 patients of peripheral lung cancer by video - assisted thoracoscopic mini - invasive lobectomy in 11women（64. 7% ） and 6 men（35.3% ） , mean age 61 years, Diagnosis was follows ： lung metastatic tumor （ 3 ） , and lung cancer （ 14 ）. 12 （ cases （ 85.7 % ） of the primary lung cancers were adenoearcinomas,2 cases（ 14.3% ） of the primary lung cancer were squamous cancers. The procedures included 15 cases of anatomical lobectomy and 2 cases of non - anatomical lobectomy, with visualization on a monitor and Minithoracotomy, anatomichilar dissection and lymph nodes dissection were performed. Results The operation was successful in 15 patients, The other 2 were converted to traditional open surgery. The operation time 85 -165 minutes （mean, 110 minutes）, closed thoracic drainage was used 2 - 4 days postoperatively （mean,3days）. The hospital stay was 7 -9 days （mean, 8days）. Conclusion Video- assisted thoracoscopic mini -invasive lobectomy is a feasible and safe procedure for peripheral lung cancer.