完全胸腔镜与传统开胸肺癌根治术对比分析

Comparation and Analysis of Video-assisted Thoracoscopic Surgery with Versus Conventional Thoracotomy for Lung Cancer

目的:对比分析完全胸腔镜下非小细胞肺癌根治术的优缺点。方法:本文回顾性研究分析本院2010年8月-2011年8月收治的104例非小细胞肺癌。分为两组,一组为56例完全胸腔镜下肺癌根治(VATS组),另一组为48例常规开胸肺癌根治(传统开胸组)。比较分析两组手术相关临床指标的变化。结果:两组手术切口长度、术中出血量、术后引流量、术后置管时间、止痛药用量、住院时间、术后1、2周MV、FEV1值各方面,差异有统计学意义(P<0.05)。手术时间、淋巴结清扫数目、术后复发率方面,VATS组与传统开胸组比较差异无统计学意义(P>0.05)。结论:完全胸腔镜下非小细胞肺癌根治适合于早中期肺癌,可以作为非小细胞型肺癌的一种常规的治疗手段。

Objective：To compare the advantages and disadvantages of videoassisted thoraeoscopic surgery in the treatment of non small cell lung eaneer.Metbod：We retrospectively analysed 104 patients with nonsmall cell lung cancer in our hospital from Aug, from 2010 Aug to 2011 Aug. Lobectomy with lymph node dissected was performed VATS in 56 patients and using conventional thoraeotomy in 48 patients. Perioperative clinical index were compared between the two groups.Result：The surgical incision length, intraoperative blood loss, postoperative lead flow, postoperative catheter time, painkillers dosage, hospital stay, the reduced value of MV and FEVI% after 1, 2 weeks between the two groups have statistically differences（P〈0.05）.VATS group compare with the conventional thoraeotomy group in operative time, lymph node dissected number have no statistically differenees（P〉O.OS）.Conclusions：VATS is suitable for early medlumterm lung cancer and can be used as a conventional treatment for NSCLC.