电视胸腔镜辅助小切口肺叶切除术治疗肺癌的手术方式和适应证研究

Research on Operation Mode and Indications of Video Assisted Mini Incision Thoracotomy Lobectomy on Treatment of Lung Cancer

目的探讨电视胸腔镜辅助小切口肺叶切除术在肺癌治疗过程中的价值。方法选择我院2010年1月至2012年8月行电视胸腔镜辅助小切口肺叶切除术的40例周围型肺癌患者为观察组,选择同期行常规开胸肺叶切除术的25例肺癌患者为对照组。比较两组患者手术情况、术后并发症发生率、疼痛评分等的差异。结果观察组患者平均手术时间、置管引流时间与对照组相比无统计学差异(P>0.05),而术中出血量、手术切口长度及术后住院时间明显少于对照组,差异具有统计学意义(P<0.05)。观察组患者并发症发生率及痛觉评分明显低于对照组,差异具有统计学意义(P<0.05)。结论电视胸腔镜辅助小切口肺叶切除术对治疗肿瘤病灶较小的早期周围型原发性非小细胞肺癌患者,能较好地完成肺叶解剖学切除及肺门纵隔淋巴结清扫,临床治疗效果良好。

Objectives To observe the values of video assisted mini incision thoracotomy lobectomy on the treatment of lung cancer.Methods 40 patients with peripheral lung cancer treated with video assisted mini incision thoracotomy lobectomy in our hospital from January 2010 to August 2012 were selected as the observation group.25 patients with lung cancer treated with conventional thoracotomy for lobectomy were chosen as the control group.Comparing the difference of operation conditions,incidence of postoperative complications and pain scores between 2 groups.Results There was no statistical significance between 2 groups in the average operation time and drainage time（P0.05）,but the amount of bleeding in operation,operation incision length and length of postoperative hospitalization of the observation group were less evidently than the control group,which had statistical difference（P0.05）.The incidence of complications and pain score of the observation group were lower evidently than the control group,which had statistical difference（P0.05）.Conclusions Video assisted mini incision thoracotomy lobectomy can complete the anatomical resection of lung and clean hilar and mediastinal lymph node better on treating lung cancers with tumour lesions smaller early peripheral primary non small cell,and the clinical treatment effect is good.