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目的探讨电视胸腔镜辅助小切口肺叶切除、淋巴结清扫治疗早期非小细胞肺癌的临床疗效和价值。方法总结我院2003年11月至2008年4月应用电视胸腔镜辅助小切口对37例Ⅰ/Ⅱ期肺癌根治性手术治疗。观察手术类型、并发症、术后病理分期、生存率。结果全组2例中转开胸,无围手术期死亡,术后病理分期Ⅰ期30例,Ⅱ期5例,术后3年生存率为85.7%。结论胸腔镜辅助小切口肺叶切除根治术治疗早期非小细胞肺癌是可行、安全的,更具有创伤小、康复快、美观的优点。
Objective To investigate the clinical efficacy and value of video-assisted thoracoscopic assisted small incision lobectomy and lymph node dissection in the treatment of early non-small cell lung cancer. Methods From November 2003 to April 2008, 37 cases of stage Ⅰ / Ⅱ lung cancer radical surgery were treated with video-assisted thoracoscopic assisted small incision. The type of operation, complications, postoperative pathological staging, survival rate were observed. Results In the whole group, 2 cases were transferred to thoracotomy without perioperative death. There were 30 cases in stage Ⅰ and 5 in stage Ⅱ after operation. The 3-year survival rate was 85.7%. Conclusions Thoracoscopic assisted small incision lobectomy for the treatment of early non-small cell lung cancer is feasible and safe, with the advantages of less trauma, quick recovery and beautiful appearance.