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目的探讨两切口全胸腔镜下支气管袖式肺叶切除术的临床效果。方法回顾性分析2013年1月到2014年1月青岛大学附属医院胸外科行两切口全胸腔镜下支气管袖式肺叶切除术16例肺癌患者的临床资料,其中男14例、女2例,年龄55(39~70)岁,分析其临床效果。结果全组患者术后无严重并发症发生。平均手术时间183 min,平均支气管吻合时间39 min,平均术中失血量170 ml。术后平均拔除引流管时间4.5 d,平均术后住院时间6.9 d。术后病理检查示11例鳞状细胞癌,5例腺癌。对16例患者进行2~12个月的术后随访,随访期间无肿瘤复发患者。结论本研究中两切口全胸腔镜下支气管袖式肺叶切除术是一种安全、可行的手术方式。
Objective To investigate the clinical effect of total thoracoscopic bronchial sleeve lobectomy in two incisions. Methods The clinical data of 16 patients with lung cancer undergoing thoracoscopic bronchial sleeve lobectomy underwent thoracotomy at the Department of Thoracic Surgery, Affiliated Hospital of Qingdao University from January 2013 to January 2014 were retrospectively analyzed. Among them, 14 were males and 2 females, 55 (39 ~ 70) years old, analyze its clinical effect. Results All the patients had no serious complications after operation. The average operation time was 183 min. The mean bronchial anastomosis time was 39 min. The average blood loss was 170 ml. The mean drainage time of the drainage tube was 4.5 days after operation, and the average postoperative hospital stay was 6.9 days. Postoperative pathological examination showed 11 cases of squamous cell carcinoma, 5 cases of adenocarcinoma. Sixteen patients were followed up for 2 to 12 months, with no recurrence of tumor during follow-up. Conclusion In this study, the two thoracoscopic thoracoscopic bronchial sleeve lobectomy is a safe and feasible surgical approach.