两切口全胸腔镜支气管袖式肺叶切除术治疗肺癌

Two-incision Approach for Video-assisted Thoracoscopic Sleeve Lobectomy for Lung Cancer

目的探讨两切口全胸腔镜下支气管袖式肺叶切除术的临床效果。方法回顾性分析2013年1月到2014年1月青岛大学附属医院胸外科行两切口全胸腔镜下支气管袖式肺叶切除术16例肺癌患者的临床资料,其中男14例、女2例,年龄55(39~70)岁,分析其临床效果。结果全组患者术后无严重并发症发生。平均手术时间183 min,平均支气管吻合时间39 min,平均术中失血量170 ml。术后平均拔除引流管时间4.5 d,平均术后住院时间6.9 d。术后病理检查示11例鳞状细胞癌,5例腺癌。对16例患者进行2~12个月的术后随访,随访期间无肿瘤复发患者。结论本研究中两切口全胸腔镜下支气管袖式肺叶切除术是一种安全、可行的手术方式。

Objective To discuss the experiences of video-assisted thoracoscopic surgery(VATS) sleeve lobectomy with bronchoplasty for lung cancer,using only two incisions.Method We retrospectively analyzed the clinical data of16 patients of VATS sleeve lobectomy with bronchoplasty in our hospital between January 2013 and January 2014.There were 14 males and 2 females at age of 55(39-70) years.The clinical effect was analyzed.Results The patients underwent sleeve lobectomy with bronchoplasty were no severe postoperative complications.Median operative time was 183 min.Median bronchial anastomosis time was 39 min.Median blood loss was 170 ml.The result of pathological examination showed 11 patients with squamous cell carcinomas and 5 patients with adenocarcinoma.Median postoperative chest tube drainage duration was 4.5 days.Median hospital stay was 6.9 days.Conclusions VATS sleeve lobectomy with bronchoplasty is a feasible and safe surgical approach,using only two incisions.