论文部分内容阅读
目的探讨胸腔镜辅助小切口肺叶切除在早期肺癌及肺良性病变治疗中的应用价值。方法回顾性分析行胸腔镜辅助小切口肺叶切除44例的临床资料,其中周围型肺癌(T1N0～1M0)23例,肺囊肿4例,肺结核9例,右肺上叶不张并脓肿2例,炎性假瘤6例。结果本组无中转开胸,手术时间90～120min,平均105min。术中出血100～300mL,平均200mL。全组44例无严重术后并发症,拔除胸腔闭式引流管时间2～5d,平均3.5d。结论胸腔镜肺叶切除对周围型肺癌(T1N0～1M0)及肺部局限性良性病变是一种安全可行的手术方法。
Objective To investigate the value of thoracoscopic assisted small incision lobectomy in the treatment of early stage lung cancer and benign lung diseases. Methods The clinical data of 44 patients with lobectomy assisted by thoracoscopy were retrospectively analyzed. Among them, 23 cases of peripheral lung cancer (T1N0 ~ 1M0), 4 cases of pulmonary cyst, 9 cases of pulmonary tuberculosis, 2 cases of right upper lobe atelectasis and abscess, Inflammatory pseudotumor in 6 cases. Results This group no transit thoracotomy, operation time 90 ~ 120min, an average of 105min. Intraoperative bleeding 100 ~ 300mL, an average of 200mL. The whole group of 44 patients without serious postoperative complications, removal of thoracic closed drainage tube time 2 ~ 5d, an average of 3.5d. Conclusions Thoracoscopic lobectomy is a safe and feasible surgical method for peripheral lung cancer (T1N0 ~ 1M0) and benign pulmonary lesions.