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目的探讨胸腔镜下肺癌根治术淋巴结清扫的疗效。方法回顾性分析广佛医院2012年7月至2014年7月行胸腔镜下肺癌根治术淋巴结清扫的59例肺癌患者作为研究对象,并与同期59例接受传统开胸手术的肺癌患者进行比较;对比两组患者的手术时间、术中出血量、胸管引流量、住院时间、并发症发生率、病死率及淋巴结清除情况。结果胸腔镜组手术时间、住院时间均显著短于对照组,术中出血量、胸管引流量、并发症发生率、病死率均显著小于开胸组,两组比较差异有统计学意义(P<0.05);两组淋巴结清除站数、淋巴结清除数目及转移淋巴结数目比较差异均未见统计学意义(P>0.05)。结论胸腔镜下肺癌根治术淋巴结清扫的疗效确切,可达到传统开胸手术的清扫范围,创伤性小、安全性高,具有临床可行性。
Objective To investigate the effect of thoracoscopic radical mastectomy for lymph node dissection. Methods A retrospective analysis of 59 cases of lung cancer patients undergoing thoracoscopic radical resection of lung cancer from July 2012 to July 2014 in Guangfo Hospital was performed and compared with 59 cases of patients undergoing conventional thoracotomy for lung cancer. The operation time, intraoperative blood loss, chest tube drainage, hospital stay, complications, mortality and lymph node clearance were compared between the two groups. Results The operation time and hospital stay in thoracoscopic group were significantly shorter than those in control group. The blood loss, the amount of chest tube drainage, the complication rate and the mortality were significantly lower in thoracoscopic group than those in control group (P <0.05). There was no significant difference between the two groups in the number of lymph node removal, the number of lymph node dissection and the number of metastatic lymph nodes (P> 0.05). Conclusions Thoracoscopic radical resection of lung cancer with radical lymph node dissection is effective and can reach the scope of traditional thoracotomy. It has the advantages of less invasiveness, higher safety and is clinically feasible.