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目的探讨电视胸腔镜辅助小切口治疗Ⅲa期非小细胞肺癌的可行性及安全性。方法对34例Ⅲa期非小细胞肺癌患者实施电视胸腔镜辅助小切口肺叶或全肺切除+纵隔淋巴结清扫术,并与同期53例常规开胸手术患者进行比较。结果胸腔镜组34例肺癌手术顺利,无死亡。与常规开胸组比较,在手术时间、术中出血、淋巴结清扫数量、范围无显著差异;术后硬膜外镇痛留置时间、胸管留置时间和淋巴结阳性率方面胸腔镜组明显优于常规组。结论电视胸腔镜辅助小切口治疗Ⅲa期非小细胞肺癌手术安全可行,创伤小。
Objective To investigate the feasibility and safety of video-assisted thoracoscopic assisted small incision in the treatment of stage Ⅲ a non-small cell lung cancer. Methods Thirty-four patients with stage Ⅲ a non-small cell lung cancer underwent video-assisted thoracoscopic assisted small incision lobe or pneumonectomy combined with mediastinal lymphadenectomy and compared with 53 patients undergoing conventional thoracotomy. Results Thoracoscopy group of 34 cases of lung cancer surgery was successful, no death. Compared with the conventional thoracotomy group, there was no significant difference in the number of surgical procedures, intraoperative bleeding and lymph node dissection, the time of postoperative epidural analgesia indwelling time, the time of tube indwelling and the positive rate of lymph node in thoracoscopic group were significantly better than conventional group. Conclusion Video-assisted thoracoscopic assisted small incision in the treatment of stage Ⅲ a non-small cell lung cancer is safe and feasible, with minimal trauma.