单操作孔全胸腔镜肺叶切除术的临床应用

目的探讨单操作孔全胸腔镜(VATS)肺叶切除术的临床效果。方法从2012年6～11月,开展单操作孔VATS肺叶切除术10例。其中支气管扩张并咯血3例,肺结核空洞1例,支气管腺瘤1例;Ⅰ期肺癌5例,对肺癌病例同时行淋巴结清扫术。结果全组无中转开胸,无严重并发症发生,1例持续漏气>7d。手术时间:160～300min,平均188min,术中出血量100～800mL,平均390mL。术后带引流管时间2～9d,平均3.8d,术后住院时间7～12d,平均9.7d。结论单操作孔VATS肺叶切除术疗效好,安全、并发症少,是早期肺癌及部分良性肺部疾病的理想术式。

Objective To study the clinical effect of single utility port video-assisted thoracoscopic surgery （VATS） lobectomy. Methods From June 2012 to November, 10 patients underwent lobectomy with single utility port video-assisted thoracoscopic surgery. Including bronchial hemoptysis 3 eases, cavitary pulmonary tuberculosis 1 case, bronchial adenoma 1 case, and stage I lung cancer 5 cases, of which had the dissection of lymph nodes in the meantime. Results The procedure was successful in all patients with no patient transferred for open thoracotomy. No serious postoperative complications occurred. Only one patient had persistent air leak more than 7 days. Operation time was 160-300min, the average was188 min. Intraoperative blood loss was 100-800mL, average 390mL. Postoperative drainage was 2- 9 days, average 3.8 days. Postoperative hospital stay was 7 - 12 days, with an average of 9.7 days. Conclusion The single utility port video-assisted thoracoscopic surgery lobectomy is efficient, safe and with less complications. It is an ideal surgical method of early stage lung cancer and some benign lung diseases.