论文部分内容阅读
目的探讨胸腔镜辅助小切口治疗肺癌的临床意义。方法2001年1月-2007年9月,共进行胸腔镜辅助小切口治疗周围型肺癌17例,其中女性11例(64.7%),男性6例(35.3%),患者平均年龄61岁,术后诊断腺癌12例,鳞癌2例,肺部转移性肿瘤3例。解剖性肺叶切除15例,非解剖性肺叶切除2例。内镜加直视下纵隔淋巴结清扫。结果2例患者术中转为开胸手术,15例手术顺利完成。手术时间85~165min,平均110min。胸管放置时间2~4d,平均3d。住院时间7~9d,平均8天。结论电视胸腔镜辅助小切口治疗周围型肺癌是一种完全可行并且安全的手术方法。
Objective To investigate the clinical significance of thoracoscopic assisted small incision in the treatment of lung cancer. Methods From January 2001 to September 2007, 17 cases of peripheral lung cancer underwent thoracoscopic assisted mini-incision. Among them, 11 were women (64.7%), 6 were male (35.3%), and the mean age was 61 years There were 12 cases of adenocarcinoma, 2 cases of squamous cell carcinoma and 3 cases of lung metastatic tumor. Anatomic lobectomy in 15 cases, non-anatomic lobectomy in 2 cases. Endoscopic and direct mediastinal lymph node dissection. Results Two patients underwent thoracotomy during operation and 15 completed successfully. Operation time 85 ~ 165min, an average of 110min. Chest tube placement time 2 ~ 4d, an average of 3d. Hospitalization time 7 ~ 9d, an average of 8 days. Conclusion Video-assisted thoracoscopic assisted small incision in the treatment of peripheral lung cancer is a feasible and safe surgical method.