电视胸腔镜与开胸肺癌切除淋巴结清扫的对比研究

Comparison of Video-assisted Thoracoscopic and Open Dissection of Systematic Lymph Nodes for Non-small Cell Lung Cancer

目的:探讨电视胸腔镜肺癌切除术淋巴结清扫的彻底性和完全性。方法:50例准备常规开胸切除的肺癌患者先采用电视胸腔镜行肺叶切除+纵隔淋巴结清扫术,随后再接受同组医师的开胸肺门纵隔淋巴结清扫。对开胸后清扫的淋巴结单独标注、计数后送组织病理学检查。结果:50例胸腔镜肺癌切除淋巴结清扫术后,开胸重新清扫淋巴结数共48枚,每例0枚～3枚,平均0.96枚。病理检查全部未查见癌细胞转移。结论:电视胸腔镜肺癌切除淋巴结清扫是彻底的、完全的。

Objective： To investigate the clinical value of mediastinal lymph node resection using video-assisted thoracoscopic surgery （VATS） in the treatment of lung cancer. Methods： Fifty patients with lung cancer were treated by lobectomy combined with mediastinal lymph node resection using video-assisted thoracoscopic surgery（VATS） ,then they received open dissection of mediastinal lymph nodes. The lymph nodes dissected in the open surgery were labeled, counted and sent for histopathological detection. Results： Totally 48 lymph nodes were resected using co-resection of conventional surgery. Zero to 3 lymph nodes were resected in each patient with an average of 0. 96. Moreover, the pathological results were negative. Conclusion： This study preliminarily demonstrates that mediastinal lymph node resection using video-assisted thoracoscopic surgery （VATS） has the identical clinical value in the treatment of lung cancer when compared with conventional surgery.