论文部分内容阅读
目的探讨胸腔镜肺癌手术治疗患者选择、手术技巧及术后康复治疗等若干问题。方法回顾性分析我院肺癌手术中辅助小切口腔镜手术70例及全腔镜手术16例的病例资料。结果全组病例均治愈出院,无围手术期死亡。中转开胸率5.5%。术后并发症:肺部感染5例,肺不张4例,心律失常2例。病理报告鳞癌48例,腺癌35例,支气管肺泡细胞癌3例。全部患者创口I期愈合。结论胸腔镜肺癌切除术在开展初期病例选择采用TN评分分级评判对保障手术安全具有实际指导意义;术中良好的技术彻底清扫肺门纵隔淋巴结是手术成功的重要保障;采用助拉带康复操协助VATS患者FTS操作性强,效果好。
Objective To explore the selection of surgical treatment of patients with thoracoscopic lung cancer, surgical techniques and postoperative rehabilitation of a number of issues. Methods A retrospective analysis of our hospital lung cancer surgery assisted small incision endoscopic surgery in 70 cases and 16 cases of endoscopic surgical data. Results All patients were cured and discharged without perioperative death. Transfer thoracotomy rate of 5.5%. Postoperative complications: pulmonary infection in 5 cases, atelectasis in 4 cases, arrhythmia in 2 cases. 48 cases of squamous cell carcinoma, 35 cases of adenocarcinoma and 3 cases of bronchial alveolar cell carcinoma. All patients with wound healing I. Conclusion Thoracoscopic resection of lung cancer in the initial selection of patients with TN score grading evaluation to ensure the safety of the operation has practical significance; a good technique to thoroughly clean the hilar mediastinal lymph nodes is an important guarantee for the success of the operation; VATS patients operating FTS strong, effective.