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单操作孔胸腔镜手术治疗周围型肺癌围术期效果分析 被引量:7

Effect of single utility port thoracoscopic surgery in perioperative period of the peripheral lung cancer patient
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摘要 目的:研究单操作孔胸腔镜手术技术治疗周围型肺癌的围手术期效果。方法:将2012年1月至2015年1月之间我科收治的169例周围型肺癌行胸腔镜手术的患者作为研究对象,根据手术方法的不同分为2组,一组为单操作孔手术组,另一组为双操作孔手术组,比较两组的手术情况以及并发症发生率。结果:单操作孔患者的手术时间(1.92±0.43)h、淋巴结清扫数(15.4±6.2)与双操作孔患者无明显差异;而术中出血量(184.4±25.8)ml、术后引流量(157.4±38.5)ml、术后住院时间(6.5±1.6)d、疼痛NRS评分(2.31±0.45)明显低于双操作孔组;单操作孔患者术后肺部感染(6.4%)、肺不张(3.8%)、支气管胸膜瘘(0%)并发症发生率与双操作孔患者无明显差异,而切口感染发生率(1.3%)明显小于双操作孔患者。结论:单操作孔胸腔镜手术与双操作孔胸腔镜手术在手术时间与淋巴结清扫数无差异的同时,术后出血量、术后引流量、术后住院时间大大减少,术后并发症的发生率也没有增加,是治疗周围型肺癌安全有效的手段。 Objective: To study the effect of single utility portthoracoscopic surgery in perioperative period of the peripheral lung cancer patient. Methods: All 169 patients with peripheral lung cancer in our hospital were selected from January 2012 to January 2015. They were divided into two groups based on different surgery method,one was single utility port thoracoscopic surgery,the other was two ports thoracoscopic surgery. The operation condition and complication were compared between the two groups. Results: There was no difference of the operation time( 1. 92 ± 0. 43) h and the number of lymph node dissection( 1 5. 4 ± 6. 2) between the two groups. The bleeding volume( 184. 4 ±25. 8) ml,postoperative drainage volume( 157. 4 ± 38. 5) ml,duration of hospital stay after surgery( 6. 5 ± 1. 6) d and NRS score( 2. 31 ± 0. 45) were significantly lower in the single utility port group than the two ports thoracoscopic surgery group. There was no difference of the post thoracotomy pulmonry infection( 6. 4%),atelectasis( 3. 8%)andbronchopleural fistula( 0%) between the two groups. Incision infection was significantly lower in the single utility port group than the two ports thoracoscopic surgery group. Conclusion: Single utility port thoracoscopy surgery is effective and safe in perioperative period of the peripheral lung cancer patient. For it can reduce operation wound,promote postoperative recovery. At the same time,it did not increase the operation time and complications.
出处 《现代肿瘤医学》 CAS 2017年第12期1918-1920,共3页 Journal of Modern Oncology
关键词 周围型肺癌 胸腔镜手术 单操作孔 peripheral lung cancer thoracoscopic surgery single utility port
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  • 1易俊,董国华,许飚,李好,景华.达芬奇-S外科手术辅助系统在普胸外科的应用[J].医学研究生学报,2011,24(7):696-699. 被引量:23
  • 2Rovers MM,Schilder AG,Zielhuis GA,Rosenfeld RM,张江平,杨妙丽,张全安.中耳炎[J].国外医学(耳鼻咽喉科学分册),2005,29(3):141-143. 被引量:433
  • 3Demmy TL, Curtis JJ. Minimally invasive lobectomy directed toward frail and high-risk patients: a casecontrol study. Ann Thorac Surg, 1999, 68 ( 1 ) : 194-200.
  • 4Li WW, Lee RL, Lee TW, et al. The impact of thoracic surgical access on early shoulder function: video-assisted thoracic surgery versus posterolateral thoraeotomy. Eur J Cardiothorac Surg, 2003, 23 ( 3 ) : 390-396.
  • 5Kaseda S, Aoki T, Hangai N, et al. Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy. Ann Thorac Surg, 2000, 70 (5) : 1644-1646.
  • 6Craig SR, Leaver HA, Yap PL, et al. Acute phase responses following minimal access and conventional thoracic surgery. Eur J Cardiothorac Surg, 2001, 20 ( 3 ) : 455-463.
  • 7Ng CSH, Lee TW, Wan S, et al. Thoracotomy is associated with significantly more profound suppression in lymphocytes and natural killer cells than video-assisted thoracic surgery following major lung resections for cancer. J Invest Surg, 2005, 18 (2): 81-88.
  • 8Iizasa T, Fujisawa T, Suzuki M, et al. Elevated levels of circulating plasma matrix metalloproteinase 9 in non-small cell lung cancer patients. Clin Cancer Res, 1999, 5 ( 1 ) : 149-153.
  • 9Petersen RP, Pham D, Burfeind WR, et al. Thoracoscopic lobectomy facilitates the delivery of chemotherapy after resection for lung cancer. Ann Thorac Surg, 2007, 83 (4) : 1245-1249.
  • 10von Rahden BH, Stein HJ, Feussner H, et al. Enucleation of submu- cosal tumors of the esophagus: minimally invasive versus open approach. Surg Endosc, 2004, 18 (6) : 924-930.

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