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目的探讨电视胸腔镜(video-assisted thoracoscopic surgery,VATS)辅助小切口行肺癌根治性切除术的可行性方法2007年5月至2008年6月本科经VATS辅助小切口行肺叶切除术21例,其中腺癌9例,鳞癌10例,腺鳞癌2例,行右肺上叶切除术3例,右肺中下叶切除2例,右肺下叶切除6例,左肺上叶切除4例,左肺下叶切除6例。术后分期ⅠA期5例,ⅡA期6例,ⅡB期7例,ⅢA期3例。结果21例均成功施行胸腔镜辅助小切口肺叶切除、纵隔淋巴结清扫术,术后恢复顺利出院。手术时间平均160min。术中出血平均300ml。胸腔闭式引流时间3~7d,平均4.5d。术后住院8~15d,平均9.5d。结论应用VATS辅助小切口行肺癌根治术,可达到彻底切除目的,是可行的。
Objective To investigate the feasibility of video-assisted thoracoscopic surgery (VATS) assisted small incision in radical resection of lung cancer. Methods May 2007 to June 2008 underwent VATS assisted small incision lobectomy in 21 cases, of which Adenocarcinoma in 9 cases, squamous cell carcinoma in 10 cases, adenosquamous carcinoma in 2 cases, right upper lobectomy in 3 cases, right middle and lower lobe in 2 cases, right lower lobe in 6 cases, left upper lobe in 4 cases , Left lower lobe resection in 6 cases. Postoperative stage Ⅰ A 5 cases, Ⅱ A 6 cases, Ⅱ B 7 cases, Ⅲ A 3 cases. Results All 21 cases were successfully performed thoracoscopic assisted small incision lobectomy and mediastinal lymph node dissection, and the patients were successfully discharged after operation. The average operation time 160min. Intraoperative bleeding average 300ml. Closed thoracic drainage time 3 ~ 7d, an average of 4.5d. After hospitalization 8 ~ 15d, an average of 9.5d. Conclusion VATS assisted small incision in lung cancer radical surgery can achieve the purpose of complete resection is feasible.