电视胸腔镜肺段切除术11例报道

Video-assisted thoracoscopic segmentectomy: Report of 11 cases

目的：探讨电视胸腔镜肺段切除术的手术适应证、手术方法及要点。方法：回顾性分析我院胸外科2014年1月~2015年8月接受VATS肺段切除术的11例患者的病例资料,分析手术适应证、手术时间、淋巴结清扫及术后恢复状况。结果：本组患者手术时间135~251min,平均（194±45）min;术中出血量210~560 m L,平均（320±40）m L;肺癌患者平均清扫淋巴结数（9.3±4.1）枚;术后胸腔引流时间3~9 d,平均（5.2±2.3）d;术后住院时间7~16 d,平均（11.3±4.5）d;术后病理包括肺腺癌6例、肺鳞癌2例,肺隔离症1例,错构瘤1例、炎性假瘤1例。结论：VATS肺段切除术是一种安全可行的术式,适合年龄偏大或患有较严重基础性肺部疾病及早期肺癌（Ⅰa期）患者。

Objective： To investigate the surgical indications,operation methods and rules for video-assisted thoracoscopic segmentectomy.Methods： Clinical data were collected from 11 cases undergone video-assisted thoracoscopic segmentectomy between 2014 and August 2015 in our hospital,and retrospectively examined regarding the surgical indications,operative time,resection of the lymph nodes and postoperative recovery.Results： Operative time was 135 min to 251 min,with an average of（ 194±45） min.Intraoperative blood loss ranged from 210 m L to 560 m L,with an average of（ 320±40） m L.Mean（ 9.3±4.1） lymph nodes were resected.Thoracic drainage lasted from 3 d to 9 d[（ 5.2±2.3） d].Postoperative hospital stay was 7-16 d,and averaged（ 11.3±4.5） d.Postoperative pathological examination revealed adenocarcinoma in 6 cases,squamous cell carcinoma in 2,pulmonary sequestration in 1,hamartoma in 1 and inflammatory pseudotumor in 1. Conclusion： Video-assisted thoracoscopic segmentectomy is a safe and feasible alternative for older patients or those with serious primary pulmonary diseases as well as lung cancer at Ia.