完全电视胸腔镜下肺叶切除治疗早期非小细胞肺癌的临床分析

Completely Video-assisted Thoracoscopic Surgery for Early Non-small Cell Lung Cancer:Clinical Analysis

目的探讨全电视胸腔镜(VATS)下肺叶切除治疗早期非小细胞肺癌的疗效。方法选取42例早期非小细胞肺癌患者,随机分成两组,分别进行VATS和胸腔镜辅助小切口(video-assisted mini-thoracotomy,VATM)手术,并同期行纵隔及肺门淋巴结清扫。观察患者术中、术后情况,并作随访。结果两组患者均顺利完成肺叶切除及淋巴结清扫,手术时间未见差别,而VATS组的术中出血量、术后第1天引流量、住院时间均显著少于VAMT组(P<0.05)。所有患者均无围手术期并发症发生。两组患者复发转移率与死亡率无显著性差异。结论全胸腔镜下肺叶切除是治疗早期非小细胞肺癌的较好方法 。

Objective To explore the curative efficacy of completely video-assisted thoracoscopic surgery （VATS） in the treatment of early non-small cell lung cancer. Methods Forty-two cases of early stage of non-small cell lung cancer patients were randomly divided into VATS group and video-assisted mini-thoracotomy（VATM） group. Their postoperative situation was observed and the follow-up was carried out. Results The surgery was successful in all the cases. There was no significant difference in operative time, but the bleeding loss, drainage volume of the 1st day postoperation and hospitalization time of the VATS group were significantly less than those of the VATM group （P〈0.05）. No perioperative complications occurred in all the cases. There were no significant differences in the metastasis and recurrence rates and the mortality rate between the two groups. Conclusion VATS is a good therapy for early stage non-small cell lung cancer treatment.