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目的：探讨全胸腔镜下肺叶切除治疗继发型肺结核的安全性、可行性和有效性。方法回顾性分析我院2009年9月~2013年12月完成的全胸腔镜下以肺叶切除为主的手术治疗继发型肺结核患者78例。记录中转开胸、手术时间、术中出血、术后引流液总量、带管时间、并发症和随访情况等。结果全组患者8例中转开胸,其余均在全胸腔镜下完成手术,手术平均时间(161．4±58．3) min；术中平均出血量(325．3±102．5)ml,术后平均引流液总量(1060．5 ± 450．8)ml；术后平均带管时间(8．6±3．7)天；术后平均住院时间(10．4±3．9)天。出现术后并发症8例,其中肺漏气4例,引流液较多3例,切口延迟愈合1例。随访时间平均25.8个月,症状消失或好转,无复发、死亡患者。结论全胸腔镜下肺叶切除治疗继发型肺结核是一种安全、可行、有效的方法。“,”Objective To evaluate the safety, feasibility and efficacy of complete video-assisted thoracoscop-ic lobectomy for secondary pulmonary tuberculosis. Methods The clinical data of 78 patients with secondary pulmo-nary tuberculosis received complete video-assisted thoracoscopic lobectomy were analyzed. Operation time, intraoper-ative bleeding, postoperative drainage volume, intubation time, complications and prognosis were recorded. Results The average time of operation was (161. 4 ± 58. 3) min, the mean intraoperative blood loss was (325. 3 ± 102. 5) ml, the mean total drainage fluid after operation was (1060. 5 ± 450. 8) ml, the average postoperative intubation time was (8. 6 ± 3. 7) days, and the average postoperative hospital stay was (10. 4 ± 3. 9) days. Postoperative complica-tions occurred in 8 cases, including 4 cases of pulmonary air leakage, 3 cases of fluid drainage, and 1 case of de-layed healing of incision. After a median follow-up of 25. 8 months, the symptoms disappeared or improved, and there was no recurrence or death occurred. Conclusion Complete video-assisted thoracoscopic lobectomy is safe fea-sible and effective in the treatment of patients with secondary pulmonary tuberculosis.