电视辅助胸腔镜与传统开胸肺叶切除术治疗肺癌的效果比较

Comparison of clinical effects of video-assisted thoracoscopic surgery and conventional thoracotomy for pulmonary lobectomy in lung cancer

目的:评价电视辅助胸腔镜手术(VATS)肺叶切除治疗肺癌患者的近期和远期疗效。方法:2002-2006年203例可手术的非小细胞肺癌患者按手术方法分为传统开胸术组(100例)和VATS组(103例),两组分别行传统开胸肺叶切除术和VATS肺叶切除,比较两组患者术后近期及远期效果。结果:VATS组手术切口长度、术中出血量、术后当日引流量及住院时间均小于传统开胸术组(P<0.01),两组手术时间比较差异无统计学意义(P>0.05)。随访3年,两组术后1年及3年的生存率比较差异均无统计学意义(P均>0.05)。结论:VATS肺叶切除治疗肺癌安全、可行,既可以减少开胸探查率,又可以达到传统开胸术的远期疗效,可作为肺癌的常规治疗手段。

Objective：To evaluate the short-term and long-term efficacy of video-assisted thoracoscopic surgery（VATS） lobectomy treating for lung cancer.Methods：Two hundred and three patients with lung cancer from 2002 to 2006 were analyzed retrospectively.Patients were divided into conventional thoracotomy group（n=103） and VATS group（n=100）.Recent and long-term effects were compared between these two groups.Results：The incision length,intraoperative blood loss,surgical drainage volume and hospitalization time in VATS group were less than those in conventional thoracotomy group（P0.01）.The operative time between two groups showed no significant difference（P0.05）.After three years of follow-up,1-year and 3-year postoperative survival rate in these two groups exhibited no significant difference（P0.05）.Conclusions：VATS lobectomy treating for lung cancer is safe and feasible.Not only can it reduce the rate of exploratory thoracotomy,but also can achieve long-term efficacy as traditional thoracotomy does.Thus,VATS can be routinely performed on patients with lung cancer.