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目的 :探讨胸腔镜术切除肺转移瘤的可行性和意义。方法 :应用胸腔镜技术对 13例患者行肺转移瘤切除术 ,单侧及双肺多发转移瘤均一期手术全切除。结果 :无手术死亡及术后并发症 ,术后平均留胸腔引流管 2d ,平均住院时间 9d(7～ 12d)。 1,3年生存率分别为 85 % ,46 %。结论 :胸腔镜术切除肺转移瘤创伤小 ,恢复快 ,效果满意 ,可一期切除双肺转移瘤及应用于高龄患者 ,扩大了肺转移瘤外科治疗的适应证。
Objective: To investigate the feasibility and significance of thoracoscopic resection of pulmonary metastases. Methods Thirteen patients underwent resection of lung metastases by thoracoscope technique. All patients underwent unilateral resection of one case and multiple lung metastases of both lungs. Results: There was no operative death and postoperative complications. The mean postoperative drainage time was 2 days and the average hospital stay was 9 days (range, 7-12 days). The 1-year and 3-year survival rates were 85% and 46% respectively. Conclusions: Thoracoscopic resection of lung metastases with small trauma, quick recovery and satisfactory results can be one-stage resection of double lung metastases and applied to elderly patients, expand the indications of surgical treatment of lung metastases.