电视胸腔镜肺段切除术与肺叶切除术治疗早期肺癌的临床疗效比较

Comparison of Clinical Curative Effect of Video-assisted Thoracoscopic Lung Segment Resection and Lobectomy for Early Stage Lung Cancer

目的比较电视胸腔镜手术(VATS)肺段切除与肺叶切除治疗早期肺癌临床疗效。方法回顾分析2012年8月至2015年8月我院收治的46例采用VATS肺段切除治疗(肺段切除组)和同期VATS肺叶切除治疗的52例(肺叶切除组)早期肺癌患者的临床资料,比较两组患者手术时间、术中出血量、淋巴结清扫数、术后下床时间、拔除胸引流管时间,术后并发症例数及术后肺功能。结果肺段切除组下床时间、拔除胸引流管时间短于肺叶切除组,肺功能恢复较好,并发症少,与肺叶切除组差异有统计学意义(P<0.05)。结论 VATS肺段切除并淋巴结清扫治疗早期肺癌安全,可靠,较肺叶切除创伤小,恢复快。

Objective To compare the clinical curative effect of video-assisted thoracoscopic surgery （VATS） segmente- ctomy and lobectomy in the treatment of early lung cancer. Methods We retrospectively analyzed the clinical data of 46 cases with VATS segmentectomy （ segmental resection group） in our hospital from August 2012 to 2015 August and 52 cases （ lobectomy group） with VATS lobectomy resection treatment of early stage lung cancer at the same period, and compared the operation time, intraoperative bleeding, lymph nodes, postoperative ambulation time, removal of thoracic drainage tube time, postoperative com- plications and postoperative lung function. Results The out-of-bed time and removal of thoracic drainage tube time of segmental resection group were shorter than lobectomy group, and the pulmonary function of segmental resection group recovered well with fe- wer complications, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion Compared with lobectomy, VATS lung segmental resection and lymph node dissection in the treatment of early lung cancer is safe, reliable and has less trauma as well as faster recovery.