微创小切口在胸部肿瘤手术中的应用(附95例报告)

Chinical application and study of small incision with minimal trauma in surgical treatment of thoracic tumor (report of 95 cases)

对 95例胸部肿瘤患者经微创小切口行手术治疗。其中 68例为右胸切口 ,2 7例左胸切口 ;切口长度为 6～14cm,平均为 9. 8cm;手术时间 2 9～ 13 0分钟 ,平均为 48. 5分钟 ;平均失血 10 0 ml。5例配合电视胸腔镜进行操作。本组无死亡。认为对于心肺功能不良的周围型肺癌 ,通过小切口行肿瘤切除术加术后综合治疗可以取得根治性疗效 ;对于周围型肺良性病变、小的纵隔肿瘤 ( <6cm)及食管平滑肌瘤 ,也可应用小切口手术 ;经小切口可行肺叶切除及纵隔淋巴结清扫术 ;

To study the surgical treatment of thoracic tumor by small incision with minimal trauma, 95 cases were observed, 68 cases had incision on right thorax and 27 cases on left. The length of incision ranged from 6cm to14 cm(9.8cm on average), the time scale of operation from 29 minutes to 130 minutes (48.5 minutes on average). The average amount of hemorrage was 100ml, 5 cases were operated with the help of thoracoscope. There was no operative mortality. To the patients with peripheral lung cancer showing cardiac or pulmory dysfuction, radical curative effect can be reached by lump excision with small incision plus postoperative combining therapy, lump excision with small incision also can be indicated to peripheral benign tumor of lung, to small mediastic tumor (< 6cm ) and to esophageal leiomyoma. Small incision can be indicated to lobar pneumonectomy and mediastic lymph adenectomy. Excision by small incision can be indicated to intra-pulmonary small node to get clear diagnosis and radical cure.