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目的探讨电视胸腔镜辅助小切口肺叶切除、淋巴结清扫治疗早期非小细胞肺癌的临床疗效和价值。方法总结高州市人民医院2005年1月-2009年12月应用电视胸腔镜辅助小切口对235例Ⅰ/Ⅱ期肺癌根治性手术治疗。观察手术类型、并发症、术后病理分期、生存率。结果电视胸腔镜手术成功222例,13例中转开胸,无围手术期死亡,术后病理分期Ⅰ期185例,Ⅱ期50例,术后3年生存率为85.7%。结论胸腔镜辅助小切口肺叶切除根治早期非小细胞肺癌是可行、安全的,更具有创伤小、康复快、美观的优点。
Objective To investigate the clinical efficacy and value of video-assisted thoracoscopic assisted small incision lobectomy and lymph node dissection in the treatment of early non-small cell lung cancer. Methods Summary Gaozhou People’s Hospital from January 2005 -2009 December application of video-assisted thoracoscopic incision for 235 cases of stage Ⅰ / Ⅱ lung cancer radical surgery. The type of operation, complications, postoperative pathological staging, survival rate were observed. Results Video-assisted thoracoscopic surgery was successful in 222 cases. Thirteen cases were converted to thoracotomy without perioperative death. There were 185 cases of stage Ⅰ and 50 cases of stage Ⅱ after operation, and the 3-year survival rate was 85.7%. Conclusions Thoracoscopic assisted small-incision lobectomy in the treatment of early-stage non-small cell lung cancer is feasible, safe and has the advantages of less trauma, quick recovery and beautiful appearance.