全胸腔镜袖式支气管肺叶切除治疗中心型肺癌临床分析

Video-assisted thoracoscopic surgery bronchial sleeve Iobectomy for lung cancer

目的探讨全胸腔镜下支气管肺叶切除治疗早期中心型肺癌的临床应用，适应证、手术方式。方法回顾分析2009年9月至2012年12月北京胸科医院确诊肺癌患者10例的手术方式。结果男9例、女1例，右肺上叶切除术3例，右肺下叶切除术3例，右肺中叶切除术1例，左肺上叶切除术2例，左肺下叶切除术1例。其中2例左肺上叶切除同时行支气管及肺动脉成形，无围手术期死亡。未有术后支气管胸膜瘘、脓胸、肺不张等并发症。结论全胸腔镜袖式支气管肺叶切除是一项安全、有效的手术方式，使更多的中心型非小细胞肺癌患者受益。

Objective To discuss the feasibility of video-assisted thoracoscopic surgery （VATS） bronchial sleeve lobectomy for NSCLC, and to describe this treatment method and the major Indications. Method Between September 2010 and December 2012, 10 patients in our hospital underwent VATS bronchial sleeve lobectomy. The patients were one female and nine males. Included 3 cases on the right upper lobe, 3 cases on the right lower lobe, 1 case on the right middle lobe, 2 cases on the left upper lobe, 1 case on the left lower lobe. 2 cases underwent VATS bronchial sleeve lobectomy and sleeve resection of the pulmonary artery. Results 10 cases were finished by Video-Assisted Tboracoscopic Surgery. They all recovered well. No patient showed bronchopleural fistula, tempyema and atelectasis. There was no perioperative death. Conclusions Video-assisted thoracoscopicsurgery （VATS） lobectomy including bronchial sleeve lobectomy is therefore considered to be a feasible surgical modality for the treatment of patients with NSCLC.