胸腔镜肺叶切除术治疗I期肺癌

Video-assited thoracoscopic lobectomy in the treatment of clinical stage I lung cancer

目的 探讨胸腔镜肺叶切除术的疗效。 方法 对 30例术前诊断为I期肺癌的患者行胸腔镜肺叶切除术 ,男 19例 ,女 11例 ,年龄 36岁～ 78岁 ,平均 6 3 1岁。 结果 无手术死亡。 2例 (6 6 7% )术后输血 ,发生并发症 4例 (13 3% )。随访时间 12月～ 4 5月 ,平均 2 8 7月 ,生存率 83 3% (2 5 30 ) ,其中I期患者生存率为 90 9% (2 0 2 2 )。 结论 对于I期肺癌 ,胸腔镜肺叶切除术长期疗效与常规开胸手术相仿 ,而且具有安全性高 ,手术创伤小 ,术后恢复快等优点。

Objective To evaluate the outcomes of video-assisted thoracoscopic(VATS)lobectomy for patients with clinical stage I lung cancer. Methods 30 patients with clinical stage I lung cancer underwent VATS lobectomy with complete mediastinal lymphadenectomy from November 1997 to October 2000.Male 19, female 11 ranged in age from 36 to 78 years with a mean of 63 1 years. Results No perioperative death occurred .Two cases(6 67%) were given blood fransfusion and complications were found in 4 coses(13 3%).During the follow-up period lasting 12 months to 45 months with a mean of 28 7 months the overall survival rate,when all stages were calculated,was 83 3%(25/30).For stage I survival rete was 90 9%(20/22). Conclusions VATS lobectomy with systemic lymphadenectomy is a safe and reliable approach for stage I lung cancer,by which an excellent long-term outcome can be achieved.