全胸腔镜肺叶切除治疗直径大于5厘米肺癌的初步体会

Preliminary experience of video-assisted thoracoscopic lobectomy in the treatment of patients with lung cancer greater than 5cm in diam

目的探讨全胸腔镜肺叶切除治疗直径大于5 cm肺癌的临床疗效。方法选取符合纳入标准的患者112例,其中男性69例,女性43例,年龄28～76岁。对肿瘤直径进行统计分析,并结合临床诊断确定病理的类型和病变的部位,统计手术时间以及术中出血、淋巴结清扫情况,生存复发数据等。结果 112例病患当中,109例于在全胸腔镜下完成了手术(手术时间134～225 min,术后引流量112～345 ml,平均住院12 d。结论全胸腔镜下肺叶切除术在治疗直径大于5 cm肺癌上具有一定的疗效,适用于早期肺癌,且具有安全性和可靠性。

Objective To evaluate the effectiveness and clinical experience of video-assisted thoracoscopic lobectomy in the treatment of patients with lung cancer greater than 5 cm in diameter. Methods The study selected 112 patients with lung cancer, including 69 cases of male and 43 cases of female. Their age was ranging from 28 to 76 years old. The diameter of tumors was statistically analyzed, and their pathological types and lesionsJsite were confirmed through clinical diagnosis. The operation time, the intraoperative hemorrhage, lymph node dissection, and survival and recurrence data were recorded. Results 109 patients were completed in total under thoracoscopic operation. The operation time was 134-225 minutes, and the volume of postoperative drainage was 112-345 ml. The average duration of hospital stay was 12 days. Conclusion Video-assisted thoracoscopic lobectomy has a certain curative effect in the treatment of patients with lung cancer greater than 5cm in diam, and it is suitable for patients with lung cancer at early stage.