我院2010年7月至2011年3月期间收治62例非小细胞肺癌患者行电视胸腔镜手术(VATS),效果良好,现总结其经验。1临床资料与方法1.1一般资料全组共62例,男33例,女29例;年龄35～81岁。以“咳嗽、咳痰、咯血、胸痛、呼吸困难”等症状入院,术前行胸部增强CT、气管镜以及头部、骨、肝、胆、脾、肾上腺等检查排除转移,病变位于右肺上叶22例,右肺中叶4例,右肺下叶23例,左肺上叶5例,左肺下叶8例。术前cTNM分期:Ⅰa期8例,Ⅰb期17例,Ⅱ期37例。1.2手术方法腋中线第7～8肋间1 cm切口作为胸腔镜观察孔,腋前线第3、或4肋间做4 cm左右切口作为主操作孔,腋后线或肩胛下线第8～9肋间2 cm切口,作为副操作 Our hospital from July 2010 to March 2011 treated 62 cases of non-small cell lung cancer patients underwent video-assisted thoracoscopic surgery (VATS), the effect is good, are summarized in the experience. 1 Clinical data and methods 1.1 General Information The whole group of 62 patients, 33 males and 29 females; aged 35 to 81 years. The patients were admitted under the conditions of cough, expectoration, hemoptysis, chest pain and dyspnea. Preoperative chest CT, bronchoscopy, head, bone, liver, gall bladder, spleen and adrenal gland were excluded from the examination. 22 cases of upper lobe, 4 cases of right middle lobe, 23 cases of right lower lobe, 5 cases of left upper lobe and 8 cases of left lower lobe. Preoperative cTNM staging: Ⅰ a in 8 cases, Ⅰ b in 17 cases, Ⅱ in 37 cases. 1.2 surgical approach axillary line 7 ~ 8 intercostal 1 cm incision as a thoracoscope observation hole, axillary line 3, or 4 intercostal incision to do about 4 cm as the main operation hole, axillary line or subscapular line 8 to 9 Intercostal 2 cm incision, as a secondary operation