62例早期肺癌胸腔镜下肺叶切除

摘要

目的：探讨完全胸腔镜下肺叶切除的可行性、安全性和可靠性。方法：对胸腔镜下肺叶切除术的62例肺癌患者临床资料进行回顾性分析，包括手术时间、术中出血量、术后胸液总量、术后胸腔引流管留置时间、清扫淋巴结数目、术后住院天数及并发症发生的情况。结果：62例早期肺癌患者经胸腔镜下肺叶切除淋巴结清扫，其中2例中转开胸。手术时间（195±57）min，术中出血量（227±153）ml，术后胸液总量（1595±1038）ml，术后胸腔引流管留置时间（7.2±3.1）d，术后住院天数（9.3±3.2）d，淋巴结清扫（4.1±1.3）组，人均（14.0±8.6）枚，全组无严重并发症。结论：胸腔镜下肺叶切除具有创伤小、恢复快、疼痛轻、住院时间短等优点，对早期肺癌患者可达到与开胸手术相似的淋巴结清扫效果，是早期周围型肺癌安全、可行的手术方式。%Objective:To investigate the feasibility,safety and reliability of video-assisted thoracoscoPic surgery ( VATS)lobectomy for Patients with early-stage non small cell lung cancer( NSCLC). Methods:The clinical find-ings of 62 Patients with early-stage NSCLC underwent VATS lobectomy were retrosPectively summarized. Results:The average oPeration time,volume of blood loss,number of lymPh node grouP dissection and volume of PostoPerative chest tube drainage were(195 ± 57)minutes,(227 ± 153)ml,(4. 1 ± 1. 3)grouPs and(1595 ± 1038)ml in Patients underwent VATS lobectomy. Conclusion:VATS lobectomy is feasible,safe and feasible for Patients with early stage NSCLC.