单向式胸腔镜肺癌根治术的临床应用

Clinical application of one-way thoracoscopic radical resection of lung cancer

目的:探讨单向式胸腔镜肺癌根治术的应用效果。方法:2017年1月-2018年11月收治肺癌患者70例,均行单向式胸腔镜肺癌根治术治疗。记录手术时间、拔管时间、住院时间、术中出血量、清扫淋巴结数目及并发症发生率。结果:所有患者手术均顺利进行,术中因出血转至开胸治疗7例,行右中下肺叶切除术治疗4例。所有患者手术时间为(156.7±30.2)min、拔管时间为(5.2±0.5)d、住院时间为(7.4±2.5)d、术中出血量为(101.5±12.5)mL、清扫淋巴结数目为(13.5±2.5)枚;淋巴结转移15例(21.43%)。术后经病理诊断,腺鳞癌2例,鳞癌20例,腺癌48例。所有患者在围术期均未发生并发症,且无死亡患者。结论:对肺癌患者行单向式胸腔镜肺癌根治术治疗,融合了单向式、单操作孔手术理念,具有可行、安全、微创等优点。

Objective:To explore the effect of one-way thoracoscopic radical resection of lung cancer.Methods:From January 2017 to November 2018,70 cases of lung cancer were enrolled,they were all given one-way thoracoscopic radical resection of lung cancer.The operation time,extubation time,length of stay,intraoperative bleeding volume,number of lymph nodes dissection and the incidence of complications were recorded.Results:All patients underwent smooth surgery,7 patients were transferred to thoracotomy due to bleeding,4 patients underwent right middle and lower lobectomy.All patients had a surgical time of(156.7±30.2)min,an extubation time of(5.2±0.5)d,a length of stay of(7.4±2.5)d,an intraoperative blood loss of(101.5±12.5)mL and the number of lymph nodes dissected(13.5±2.5)pieces,15 cases of lymph node metastasis(21.43%).After surgery,the pathological diagnosis showed that there were 2 cases of adenosquamous carcinoma,20 cases of squamous carcinoma and 48 cases of adenocarcinoma.All patients had no complications during the perioperative period and no death.Conclusion:The patients with lung cancer are treated with one-way thoracoscopic radical resection of lung cancer,the concept of one-way and single-operated foramen is integrated,it has the advantages of feasibility,safety and minimally invasive.